Barn Manager Information

(One sheet per mare booked)

 

________________________________________________________________

Owner Name

________________________________ _____________ __________________

Mare Name                                                                                 Age                                 Breed

Address where semen is to be shipped:

________________________________________________________________

Farm, Clinic, or Owner Name

________________________________________________________________

Contact Name (if different)

________________________________________________________________

Street

_____________________________ ______________________ ____________

City                                                                                  State/Province                                             Zip/Postal Code

________________________________________________________________

Farm, Clinic, or Owner Phone Number(s)

Owner Information: (if different from above)

________________________________________________________________

Name

________________________________________________________________

Street

_____________________________ ______________________ ____________

City                                                                                  State/Province                                             Zip/Postal Code

_____________________________ ______________________ ____________

Home Phone Number                                                         Work Phone Number                                  Other Phone Number

________________________________________________________________

E-mail Address

Helpful Information: (not required, but nice to have)

Mare’s Normal Reproductive Specialist: (the veterinarian/technician that does the culture and ultrasounds/rectal palpations, etc. on your mare to determine breeding dates and will be doing the inseminations. If this is more than one person, please include all information, and specify who does what.)

______________________________________________________________________

Clinic/Farm Name

______________________________________________________________________

Contact Name

_____________________________ _______________________

Phone Number                                                                 Other Phone Number

 

 

For SFI Use Only

Ship Date

Collection Fee

Container Type

Shipper + Amount

Courier Fee (if any)

Container Return Date

Pregnancy Confirm Date

Other (Specify)