Roma Diamond Skip R.I.D. BOOKING FORM FOR CHILLED SEMEN INSEMINATION 2008 SOUTHERN IRELAND Name of Owner:…………………………………………………………………… Address…………………………………………………………………………………… Telephone Number…………………….Mobile…………………………………………………..email………………………….. Name of Mare………………………………….. …………………………….I H B Reg No ………………………………. Sire……………..………………….Dam………………………Breed……………………. Colour………………………………….… Name of Veterinary Surgeon /Importer………………………………………… Import Number………………………………………. Address for Delivery of Semen…………………………………………………………………………… …………………………………………………………………………………….… Telephone Number……………………………………………………………. Mobile………………………………… Charges: - Stud Fee 700 EURO + VAT 1st Collection, Evaluation and Packing of Semen: - Free of Charge. 2nd & Subsequent Collections: - 60 EURO + VAT Diamond has excellent fertility. As he uses a dummy, we do not need a mare in season, so we can collect semen at any time. Delivery in Single Use Semen Transport Box 18 Euro.+ ,vat Delivery by International Overnight Courier Approx 65 Euro + Vat In order to obtain necessary export certificates initial notice required minimum 10 days prior to export of chilled semen , then notify us when mare is ready, the day before despatch required. . I agree to the above arrangements and charges: Name:……………………………………………………………….. Martin & Jane Manning TEL: 00441981 570212 Date:-………./…………………/2008 Kilpeck Stud, Upper House Farm, Didley Hereford HR2 9DA FAX :00441981 570441 Mobile: - 00447970 644447 email jane@kilpeckstud.co.uk APPROVED SEMEN COLLECTION CENTRE –UK-9039-EU