|
TODAY'S DATE: 07/14/2025 |
|
|
|
SELECT TYPE
OF SERVICE:
|
STUD OWNER INFORMATION
|
* STUD OWNER FIRST
NAME: |
|
* STUD OWNER LAST
NAME: |
|
STUD OWNER ADDRESS
1: |
|
STUD OWNER ADDRESS
2: |
|
STUD OWNER
CITY: |
|
STUD OWNER
STATE: |
|
OWNER ZIP/POSTAL
CODE: |
|
* OWNER
COUNTRY: |
|
* OWNER
TELEPHONE: |
|
OWNER FAX: |
|
OWNER EMAIL:
|
|
STUD
INFORMATION
|
* REGISTRATION NUMBER:
|
|
(If not registered, enter
"None") |
* DOG'S FORMAL NAME:
|
|
* DOG'S CALL NAME:
|
|
* DOG BREED: |
|
|
PURCHASER INFORMATION
(Name of Purchaser / Bitch Owner Receiving Cooled Semen)
|
* FIRST NAME: |
|
* LAST NAME: |
|
COMPANY NAME: |
|
* ADDRESS 1: |
|
ADDRESS 2: |
|
* CITY: |
|
*
STATE/PROVINCE: |
|
* ZIP/POSTAL
CODE: |
|
* COUNTRY: |
|
* TELEPHONE: |
|
FAX: |
|
* EMAIL: |
|
CANINE CRYOBANK IS SHIPPING
TO: |
* FIRST NAME: |
|
* LAST NAME: |
|
* HOSPITAL/FACILITY
NAME: |
|
* ADDRESS 1: |
|
ADDRESS 2: |
|
* CITY: |
|
*
STATE/PROVINCE: |
|
* ZIP/POSTAL
CODE: |
|
* COUNTRY: |
|
* TELEPHONE: |
|
* FAX: |
|
* EMAIL: |
|
REQUESTED
SHIPPING DATE (MM/DD/YYYY) |
IMPORTANT
SHIPPING INFORMATION
|
PLAN
AHEAD! THERE IS
AN ADDITIONAL $75.00 FEE FOR SAME-DAY ORDERS! All required
information must be received by 11:00 a.m. Pacific time for Canine
Cryobank to attempt same-day shipment. Canine Cryobank will make best
efforts to make same-day shipments, but does not guarantee
same-day shipment. Note that same-day shipment does not mean
same-day delivery. If you require delivery quicker than FedEx can
provide, you must contact us to make special arrangements for delivery and
payment of the additional expenses. Also, please
note that shipping charges are not included in the handling fees listed
above, and will be billed directly to the FedEx number
provided. |
SHIPPING
COST INFORMATION: FEDERAL EXPRESS PRIORITY OVERNIGHT, 2-4
POUNDS. CALL 1-800-GoFedEx FOR
COSTS. BE
PREPARED TO GIVE THEM THE DESTINATION ZIP CODE AND 92069 FOR SHIPPING COST
COMPUTATION. |
|
OTHER INFORMATION:
|
|