Frozen Canine Semen Release Form - Icsb Georgia (Page 2 of 2) in pdf

Frozen Canine Semen Release Form - Icsb Georgia Page 2

FOR OFFICE USE ONLY: Semen Retrieval______ Tank Rental______ Date Shipped_____

Stat Fees______ Shipping Charges______ Shipping Weight_____lb

Tank #______

Ship Via: UPS FEDEX AC Other_______________ ON 2

day Sat

Insurance Fees:____________

Prepaid Tank Return Charges: ___________ Tank return label#_____________ Total Charges____________

Tracking #:______________________________

UPS or Fedex (circle one)

Card #:___________________________ Exp Date:___________ 3 digit code:________

Visa or Mastercard (circle one) Cardholder’s Name:__________________________ Zip code:_______

Reported by:_____________________

Price Quoted: $___________

Semen Tech:______________

PRICES FOR COOL SHIPPING

PRICES FOR FROZEN SHIPPING

Chilled semen kit:

$85

Tank prep

$72.00

Semen collection & extension: $94.50

Semen Retrieval (per breeding) $25.00

Overnight shipping fees

$35-90

Tank rental 7 days

$51.00

Daily charge after 7 days

$14/day

Ship tank roundtrip

$300-$500

Stat Tank Prep

$97.00

(less than 48 hrs notice)

October 2015

Frozen Canine Semen Release Form - Icsb Georgia Page 2