A.I. Certificate Request – Hi Point Genetics

A.I. CERTIFICATE REQUEST

To secure your certificate, you must provide us with all information that is required in the submission form. AI breeding certificates are $35 each and will be paid utilizing the credit/debit card submitted below. payment will be processed manually.

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

Email Address

Sire

Breeding Date

Herd Mark

quantity of certs

Credit/Debit Card Number

Expiration date

CVC

Billing Zip code