SEMEN & EMBRYO RELEASE FORM

SEMEN REQUIRED TO BE AT RECEIVER / DESTINATION:

RELEASED TO (NEW OWNER)
Company Name:
Contact:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State:
Post Code:
Email:
example@example.com
Phone #:
Format: (000) 000-0000.
DELIVER/SHIP TO (only vets and Al centres accepted)
Company Name:
Contact:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State:
Post Code:
Email:
example@example.com
Phone #:
Format: (000) 000-0000.
*HANDLING/SHIPPING CHARGES WILL BE BILLED TO NEW OWNER UNLESS OTHERWISE ADVISED
* PLEASE ENSURE SHIPPING ADDRESS FOR TANKS IS NOT DIFFERENT TO NORMAL POSTAL ADDRESS.
* SND SIGNATURE SPECKLES DOES NOT OFFER INSURANCE COVERAGE FOR PRIVATE STOCK IN STORAGE OR IN TRANSIT.
Should be Empty:

REQUEST FOR PICKUP/RELEASE OF OWNERSHIP FORM