Semen Release Form

Semen Release Form

Semen/Embryos to be Released

plus1 Add minus1 Remove

Current Owner

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country

Purchaser Details (inc Trading Details)

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country

Delivery Address (if different from purchasers details)

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country

 Please note, Australian Premier Genetics does not provide Transit Insurance. 

Do you require APG to invoice purchaser on your behalf? (if yes, please include value per straw/embryo in table above)
Will CURRENT OWNER or PURCHASER be charged for dispatch and freight?