Name of Mare:

Mare Owner’s Name:

Shipping  Address: (No P.O. Box must be street address or rural route).

Person receiving shipment:

Phone Number:      (         ) 

Fax Number:         (         ) 

Unless otherwise specified, Fed-Ex Overnight Delivery will be used to deliver semen shipments.  If you have your own Fed-Ex Account and wish to be billed directly, fill in the following:

Fed-Ex Account No:

Account Name:

If you do desire an alternate method of shipment, please specify below and furnish any additional information that would be useful in serving your delivery needs (i.e., nearest airport, etc.).

Requested alternate method:

Additional information: