SEMEN REQUEST FORM This form must be completed IN FULL before semen requests can be processed OWNER/AGENT DETAILS * First Name Last Name Address Email * Phone * (###) ### #### DELIVERY DETAILS please complete this section if deliver details are different to above Name First Name Last Name Address Email * Phone * (###) ### #### Shipping method * This charge is on a per cycle basis. Semen can be delivered Tuesday to Saturday Collection fee including P & P for delivery by 9am £140 + VAT Collection fee including P & P for delivery by 1pm £120 + VAT Collection fee including in person pick up from stud £80 +VAT SEMEN Which stallion to you request semen from? Airborn £600 LFG (fresh | chilled semen availible) Dunhill Desert Storm £500 + VAT LFG (fresh | chilled | frozen semen availible) Furst Summer £600 LFG (fresh | chilled semen availible) Derringer £350 + VAT LFG (fresh | chilled semen availible) Kinsky Abraham £450 + VAT LFG (fresh | chilled semen availible) Greenhall Supersonic £550 LFG (fresh | chilled semen availible) Samaii £600 LFG (fresh | chilled | frozen semen availible) Popenhoe Picture Perfect £350 LFG (fresh | chilled semen availible) Type of semen * Chilled Frozen Fresh Frozen Semen Stock Amaretto M £300 Athens Mumbo Jumbo £300 + VAT Crowns Wonder Pearl £400 + VAT Don Ricoss £300 Multicolor II £200 Renkum Valentino £300 + VAT Tornado FCS £500 + VAT Sambertino £300 Requested Date of Collection - for fresh/chilled semen MM DD YYYY Requested Date of Delivery - for frozen semen MM DD YYYY Brackenspa Stud Terms and Conditions All stallions CEM, EIA and EVA negative. Brackenspa Stud offers Artificial Insemination (AI) at the stud of by sending out chilled semen. The semen is collected from the stallion as necessary, chilled immediately and transported at the mare owner's cost. The semen is supplied for the insemination of one mare only. Frozen semen is sold on a per dose basis. Postage is via Royal Mail. Brackenspa Stud accepts no liability for delays/errors made once semen is posted on agreed service All prices are subject to VAT. STUD FEE & COLLECTION FEE MUST BE PAID IN FULL PRIOR TO DISPATCH OF SEMEN. DECLARATION * I have read and understood Brackenspa Stud Farm's Price List and Terms and Conditions. I agree to pay all accounts in full prior to the collection and/or dispatch of semen Additional Infromation Signed * Owner/Agent Name * Date * MM DD YYYY Thank you!