Chilled Semen Form - West End Farm Stud

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WEST END FARM STUD
Westwood Cottage, Thornholme, Driffield, Yorkshire, YO25 4NN
Tel: 01262 490570/07779 637507
NOMINATION FORM FOR THE DELIVERY OF CHILLED SEMEN
PLEASE PRINT CLEARLY
STALLION…………………………………………….................
Name of Mare……………………………………………………
Sire……………………………………………………………….
Dam………………………………………………………………
Age…………………….. Stud Book…………………………….
Reg No……………………………………………………………
Please supply a copy of breeding papers or identity document/vaccination certificate
Is the mare
Maiden/ Barren/ in foal (please delete)
Last Date the mare was in foal or due date if in foal ………………………………………..
Approximate date semen required …………………………………………………………..
NAME OF MARE OWNER……………………………………………………………..
ADDRESS…………………………………………………………………..
……………………………………………………………………………….
……………………………………………………POSTCODE……………
Tel: ………………………………………………..Mobile………………………………
Please fill in the name & address of the Veterinary Surgeon/AI Technician who will be
inseminating the mare.
…………………………………………………………………………….
…………………………………………………………………………….
…………………………………………………………………………….
Postcode………………………… Tel:……………………………
Name and Address including postcode where the semen is to be sent.
…………………………………………………………………………….
…………………………………………………………………………….
…………………………………………………………………………….
Postcode………………………… Tel:……………………………
I hereby state that I understand & agree with the Terms & Conditions & AI Arrangements of West End
Farm Stud & the information given is correct to the best of my knowledge.
SIGNATURE …………………………………………….DATE…………………….
ARRANGEMENTS FOR AI
NOTIFICATION – Full co-operation between the mare owner, the Stud and the Veterinary Surgeon
carrying out the AI is essential. It is important that the Stud is kept informed of the mares progress and is
informed as soon as the mare comes into season. Under normal circumstances semen ordered by 11am
will be delivered by 9am the next day excluding Sun & Mon deliveries.
TRANSPORT/SEMEN AVAILABILITY – Unless collection is being arranged by yourselves, semen will be
sent by overnight delivery. The cost of this service for delivery Tuesday to Friday is included in the fees
below, Saturday delivery is £10 extra. It should be noted that there is no delivery by overnight companies
Sunday or Monday therefore there would be an additional cost if semen is required on these days which
would have to be met by the mare owner. Quotes for same day delivery can be obtained but again costs
would be met by the mare owner. It is possible for mare owners to arrange to collect semen from the stud
on the day of collection.
We accept no responsibility whatsoever for delays or the non delivery of semen due to unforeseen
circumstances beyond our control.
PREGNANCY DIAGNOSIS – Further semen will be sent on receipt of a veterinary certificate stating that the
mare is not in foal.
FEES
The Stud Fee + £60 collection fee must be paid before any Semen will be released. If further semen is
required a further £50 is payable.
Any outstanding accounts not settled by 1st September will forfeit the issuing of service certificates or
eligibility for a free return.
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