ORDER FORM (use the print button to print the form for mailing or faxing to 570-836-1549.)  

Name:________________________________________________________________

Company:_____________________________________________________________

Address:______________________________________________________________

City/State/Province/Postal Code:____________________________________________

Country:______________________________________________________________

Shipping Directions:______________________________________________________

Phone:__________________Fax:_____________________E-Mail:_________________

Please ship semen as follows:

No. of Units
Bull Name
  138HO01517 Regancrest DELLSTAR 
  140HO00301 Plushanski BW BEETHOVEN 
  140HO00304 Plushanski PF PHARAOH 
  138HO01566 Futuraland ZADE 
  140HO00306 Plushanski FF PYRAMID 
138HO01790 Regancrest MAGNIFICENT
  138HO01565 Regancrest DELIVERANCE 
  138HO02845 Regancrest BR DORON
138HO02220 Ver Hages Component KING
138HO01855 Creek WD DIAMOND
159HO00010 Rothrock BS LIGHTNING 
  140HO00300 Plushanski Bwood BECK 
138HO01990 Ver Hages BRILLIANCE
  138BS01550 R Hart CONQUEST 
138BS02320 Flatness Intl REQUEST
  138BS01695 Rolling Meadows JULIO 
138BS02300 Flatness Intl JAMAICA
138BS02165 Flatness Intl JILLION

Please respond quickly with price and delivery information.  I understand that price may be affected by quantity.  Free shipping within the U.S. for orders totaling 30 units or more, any combination of bulls.

I am interested in embryos, genetic requirements as follows:
Milk
Fat
Protein
Classification
Pedigree
Quantity
Max. Price
 
 
 
           
Method of payment:

C.O.D._______   Check enclosed________    Visa_______  Mastercard_______  Discover_______

Credit Card Account No._________________________________________Exp. Date_______________

Signature:____________________________________________________________________________


          
104 Stony Mountain Rd.
Tunkhannock, PA  18657
Phone:  570-836-3527 / Fax:  570-836-1549
 
2003 Flatness International, Inc.
All rights reserved.
 
Revised 10/15/03