Flush Lot Consignment Form | Hi Point Sales & Marketing

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Donor Name:
Donor Reg. #:
Breed:
Name of Sale:
Number of Transferable Embryos Guaranteed:
- 6
- 8
Cap on Embryos:
- Yes
- No
If Yes, what is the cap?
Type of Flush:
Breeding Status of Donor:
- Bred
- Open Wet
- Open Dry
When is the Donor Available to Flush:
Date Format: MM slash DD slash YYYY
Footnote:
Name of Place Where Flush Will Occur:
Facility Location:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is the Donor parent verified through breed association?
- Yes
- No
Genetically Enhanced EPD’s:
- Yes
- No
Owners of Donor:
Name of Point of Contact:
First Last
Phone of Point of Contact:
Email of Point of Contact
Please Attach Operation Logo:
Donor Picture:
Donor's Sire Picture:
Donor's Dam Picture:
Donor Progeny Pictures:
Add one or more photos of progeny from this donor
Drop files here or

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