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+353 86 8190076
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Agreement for semen freezing & storage
Authorisation for disposition of frozen semen
Certificate of Collection
Authorisation for Insemination
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Aurthorisation for disposition of frozen semen
Owner of Semen:
Name
(*)
Please type your full name.
Phone
(*)
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E-mail
(*)
Invalid email address.
Address
(*)
Invalid Input
Stud sire from which semen is collected:
Dogs name
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Microchip
Invalid Input
Breed
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Colour
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Date of Birth
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AND I AUTHORISE ONE OF THE FOLLOWING:
Authorisation
(*)
Please Select One
1. Transfer to Storage Location
2. Transfer of Owners
3. Shipment for Insemination
4. Insemination
5. Destruction and Disposal
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No. of Vials
Please Select One
1 x Vial
2 x Vials
3 x Vials
4 x Vials
5 x Vials
6 x Vials
7 x Vials
8 x Vials
9 x Vials
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Labelled Vial Numbers
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Complete if you selected 1, 2 or 3 in authorisation above:
Name
Please type your full name.
Phone
Invalid Input
E-mail
Invalid email address.
Address
Invalid Input
Complete if you selected 3 or 4 in authorisation above:
Name of Bitch
Invalid Input
Microchip
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Breed
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Colour
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Date of Birth
Invalid Input
Complete if you selected 1 or 5 in authorisation above:
Date when semen arrives:
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CONSENT DECLARATION:
I give my consent to the Trade Genetic's representative to perform a surgery / surgical implant on the above named animal under general anaesthetic.
I understand that all anaesthetic techniques and surgical procedures involve some risk to the animal.
The animal will be discharged from the Trade Genetics veterinary surgery with dissolvable sutures and a post operative sheet detailing all aftercare instructions.
Signature
(*)
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Date
(*)
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Trade Genetics
Canine Reproduction Services
Cabra,
Thurles,
Co Tipperary.
Eircode: E41 DE88
Telephone:
+353 504 58900
Mobile:
+353 86 819 0076
E-mail:
info@tradegenetics.ie
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Home
Home
Forms
Agreement for semen freezing & storage
Authorisation for disposition of frozen semen
Certificate of Collection
Authorisation for Insemination
About
Facilities
History
How to find us
Mission
Services
Artificial Insemination
Chilled Semen
Exports & Imports
Frozen Semen
Male Fertility Check
Mobile Semen Collections
Progesterone Testing
FAQ
News
Contact
We use cookies to ensure that we give you the best experience on our website.
I accept