embryo source

Please complete all of the following. All boxes must be checked.

Name

Email

Phone Number

Street Adress

City/State/ZIP

Terms and Conditions- A commission of 10% of the selling price of embryos will be taken from sales receipts and owner will be mailed a check of the balance. If embryos listed on embryosource.com become unavailable embryosource@gmail.com must be notified immediately. Owner will be billed for commission fee if embryos are no longer available, and embryosource.com has not been notified.

I have read, and understand the terms and conditions and other statements listed on this contract.

Full Name (Electronic Signature)

I understand that my name entered above and submitting this form, acts as an electronic signature.

Embryo Information

Embryo Location

Dam Name, Reg. #, and Description

Dam Name, Reg. #, and Description -

Sire Name, Reg. # (Quantity of Embryos), (Price per Embryo)

Sire Name, Reg. # (Quantity of Embryos), (Price per Embryo) -

Second Embryo Location (if applicable)

Second Dam Name (if applicable), Reg. #, and Description

Dam Name, Reg. #, and Description -

Second Sire Name (if applicable), Reg. # (Quantity of Embryos), (Price per Embryo)

Sire Name, Reg. # (Quantity of Embryos), (Price per Embryo) -

Third Embryo Location (if applicable)

Third Dam Name (if applicable), Reg. #, and Description

Dam Name, Reg. #, and Description -

Third Sire Name (if applicable), Reg. # (Quantity of Embryos), (Price per Embryo)

Sire Name, Reg. # (Quantity of Embryos), (Price per Embryo) -

If you want to add photo(s) and/or a video to your listing(s), then please email them to embryosource@gmail.com. Please save the photo(s)/video(s) as the name of the animal shown (Example: Betsy437-1, Betsy437-2, Betsy437-video, where the dam's name is Betsy437 and there are 2 photos sent and 1 video), and send them as attachment(s), so we can make sure to add it to the correct listing.