A-1 Performance sires Equine Semen Import Service

Ann Graves 1138 Williams Lake Road, Evans WA 99126

Phone: 509-684-8449  Fax: 509-684-8449

A-1PERFORMANCESIRES.COM  E-MAIL: INFO@A-1PERFORMANCESIRES.COM

Sold To: Ship To:

Name:_______________________________________             Name:_______________________________________

Farm Name:__________________________________               Clinic:_______________________________________

Address:____________________________________               Address:_____________________________________

City, State, Zip:_______________________________               City, State, Zip:_______________________________

Phone Number:______________________________                Phone Number:_______________________________

Email:_______________________________________              Email:_______________________________________

Date Semen Wanted:______________________

Stallion

# Doses

Price/Dose

Total

Domestic Shipping Insurance:_____________________

Credit Card No.:____________________________________ Nitrogen Fees ($45.00):  ________________

Exp. Date:_________________________________________      Total: _______________________

Credit Card Billing Address:                    Please mail or fax order form

________________________________________________________

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A-1 Performance Sires is a frozen semen import service. A-1 Performance Sires makes no claims as to the availability, fertility, viability, or freedom of disease of semen. There is no breeding contract or live foal guarantee. Prices are subject to change. We have the right to refuse service. All sales are final upon delivery. A-1 Performance Sires is not responsible for web site or typographical inaccuracies. Purchaser acknowledges that A-1 Performance Sires will not be responsible for domestic shipping insurance. Insurance may be purchased at $25 for each $2500 of value.