First Name |
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Last Name |
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Farm Name |
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E-mail Address |
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Phone Number |
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FAX Number |
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(Address information must match credit card entered below.) |
Billing Address 1
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Billing Address 2 |
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Billing Address City |
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Billing Address State |
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Billing Address ZIP |
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You may only order a report for one broodmare at a time. If you have more than one broodmare you wish to analyze, please complete several copies of this form and submit each order separately. |
Mare Information |
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Sire |
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Dam/Damsire |
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Analysis
Specifications |
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eographic Location
(Select as many as desired.) |
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Breeding Plans |
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to Race and/or
for Commercial? |
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Optional: Opt-Out of
Stud Farm Notification |
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We routinely notify the farm when recommending one of their stallions for a given mare. This lets the stallion manager know we have endorsed the mare for that stallion. At a time when breeders are competing for seasons to the more commercial stallions, it could make a difference when you apply for a season. We disclose to them the name of the mare, but we don't disclose your identity or contact information. If you would prefer to opt out of this service, please check the box below.
Check here to opt-out of Stud Farm Notification.
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Bound Copies
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Bound Copies Desired
(Electronic delivery already included.) |
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If you selected to receive bound copies, enter overnight delivery shipping address -
where you want your analysis to be delievered.
Check here if same as Billing Address above. |
Shipping Address 1
(No P.O. Boxes) |
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Shipping Address 2 |
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Shipping Address City |
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Shipping Address State |
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Shipping Address ZIP |
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Billing Information |
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Credit Card Type |
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Credit Card Number |
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Expiration Date (Mo/Yr) |
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Remember - Credit card account records must match mailing address entered above. |
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Anything else? |
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If you have any comments or anything further on your mind, please don't hesitate to tell us what else we need to know:
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