Bull Barn Order Form

Name:______________________________________________________________________

Ranch Name:________________________________________________________________

Address:___________________________________________________________________

City:____________________________________ State: __________ Zip: __________

Telephone: ______________________________ Email: __________________________

Shipping Address (if different than above)

Name:______________________________________________________________________

Address:___________________________________________________________________

City:__________________________________ State: _______ Zip: _______________

Ordering Details

Breed: ________________ Breed Association # (certificates): _______________

Semen/Cert     Quan.           Bull Name            Unit Price     Total    

__________    _______   _________________________   __________   __________

__________    _______   _________________________   __________   __________

__________    _______   _________________________   __________   __________

__________    _______   _________________________   __________   __________

__________    _______   _________________________   __________   __________

__________    _______   _________________________   __________   __________

__________    _______   _________________________   __________   __________

                                                    Shipping     __________

                                                    Total Due    __________

(Circle One) Flush: Yes  No         Syncronizes: Yes  No 

Please include your check with your order or Credit Card and number:

Visa/MC/Discover: _______________ Card Number: ____________________________

Exp Date: _______________________ Date Needed: ____________________________