Quick Book Collections

Colt/Stallion
Name*
Known As*
Insurance
Insurance Company (If Insured)
Please ensure your horse is vaccinated for Tetanus and Strangles before coming to training or collection
Has anything changed since his last collection?
- Yes
- No
If so give details
Name of attending or usual Veterinarian*

Services required; (Check all that are required)*
- Phantom Collection
- Semen preparation for shipping fresh;
- Semen Freezing;
Preferred booking date;*

(While every attempt to accomodate your preference, we will confirm once request is received)
Do you want the collection prepared for transport to take with you today?
- Yes
- No
How many doses?
If you are collecting semen you wish to be shipped to a mare owner please give details below:
How many mares for this collection
Do you wish the collection to be divided and the remaining semen frozen?
- Yes
- No
If you answered YES to the previous question, please make sure to fill out the Freezing Form after this one.
Billing
Who are we billing?*
- Stallion Owner
- Mare Owner
1st Mare Owner
Mare owner
Mare
Phone
Billing Email
Address or airport semen is to be shipped to
Attention to
2nd Mare Owner
Mare owner
Mare
Phone
Billing Email
Address or airport semen is to be shipped to
Attention to
Any further comments or requests

Terms & Conditions
I have read and agreed to the Disclaimer , Terms of Tradeand the Delivery Terms
*
- Yes

Colt/Stallion