Semen Order Form - Gestuet Falkenhorst

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Semen Order Form
Stallion’s Name: CHESS M – Black Tobiano (homozygous)
WEISSGOLD GF – Cremello
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Name
……..………………………………………………………...
Address
……..………………………………………………………...
……………………………………………………………………………..
…………………………………………Country ……………………...
Telephone ……………………………Fax……………………………...
Email
……………………………………
Delivery Address………………………………………………………...
……………………………………………………………………………..
Post Code……………………………...Delivery Date…………………
Contact Name…..……………………..Contact No……..……………..
Name of Mare………………………….Passport No…...……………..
Date of Birth……………………………Colour…………………………
In Foal
No/Yes – due date……………………….
Notes - Competition History, Breeding History etc……………..........
……………………………………………………………………………..
……………………………………………………………………………..
Please attach a copy of your mare’s passport, including pedigree, and sign this form
to confirm you understand the terms of sale, and send via mail or fax them all
together to us. Semen available from March to July 2008. Semen has to be paid
before shipping. Wire and bank details will be sent to you via email or fax once we
have received your order form.
Signature……………………………………………Date………………
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