SHIPMENT
#:_________________________
SHIPPED SEMEN REQUEST FORM
(please use 1
form per shipment)
Fax To: 903-429-6898
or call Kim Dean at 903-429-6635 or 903-815-3347
Please write CLEARLY.
(You must receive voice confirmation
from me that we are shipping semen if you placed order for
semen via e-mail or via message on voicemail.)
Requests for semen must be made prior to 5pm CST the day prior
to shipment or cancelled by 8am CST day of shipment. All fees must be paid
prior to shipment or pickup.
BREEDING FARM WILL NOT SHIP SEMEN WITHOUT ALL
FEES BEING PAID IN ADVANCE
Date:_________________________________
Time:________________________
Mare
Name:_________________________________________________________Breed_____________Reg#___________________________________
Owner Name:_______________________________________________________ Email:________________________________________________
Contact Person(if different
from
owner)____________________________________________________________________________________________
_______ FEDEX
($275) _______ FEDEX HOLD FOR PICKUP
($275)
_______FED EX--SATURDAY ($305)
______FED EX (CANADA) ($325)
_______FARM PICKUP ($125—using your container)
___________ SAME DAY SERVICE
VIA AIR LINES within the US ($350)
Preferred Major Airport:
_____________________________________________________________________________________________
SHIP TO:
Business:____________________________________________________________________________________________________________
Name:__________________________________________________________________Email________________________________________
Physical Address:______________________________________________________________________________________________________
City_____________________________________________________________State________________________
Zip_____________________
Work#________________________ Home#__________________________
Cell#_______________________ Fax#:______________________
Credit Card Information:
(card will be charged upon receipt of contract)
Please charge my credit card for all fees incurred in breeding my mare:
____Visa ____MasterCard Name of Cardholder:_______________________________________________________________________
Billing Statement Address:_____________________________________________________________________________________________
City____________________________________________________________State___________________ Zip _________________________
Card #___________________________________________________________ Exp Date __________ 3 #’s on back of card __________
John and Kim Dean
P.O. Box 88
Tioga, TX 76271
Phone: (903) 429-6635
Fax: (903) 429-6898
(903)-815-1113 John's Mobile
(903)-815-3347 Kim's Mobile
Email:
johnandkimdean@aol.com