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R & M Hanna Pty Ltd ABN 57 089 769 120

Print and send to 80 Scotchmans Road, Bellarine 3221

or Fax  (03) 52 53 2088                            Phone 0419 592 744 

BREEDING CONTRACT for SHIRAZ BLACK  Oldenberg, Germany  LM 43333-01553-03 and AWHA   
Chilled or Frozen Semen (Chilled or frozen semen will only be sent to a recognised AI accredited stud farm or to a registered veterinary practise.)

MARE NAME: ______________________________________________________________DATE OF BIRTH: _____________________________

REGISTRY and NO: _______________________________________________________    MICROCHIP NO:   _____________________________

SIRE: __________________________________________________   DAM:________________ _________________________________________

COLOR:_______________________MARKINGS: ____________________________________ BRANDS: _________________________________

FEES FOR THE USE OF TRANSPORTED SEMEN - $2200.00 

COLLECTION FEE - at current veterinary prices (INCLUDES SEMEN COLLECTION, EXTEND, EVALUATE AND PREPARE FOR SHIPMENT PLUS TRANSPORT COSTS)

The fee of $2200.00 must be received with this signed contract.

Statene Park offers a Live Foal Guarantee. If all fees are paid in full but the mare does not deliver a live foal, a free service will be offered for the season following the first insemination. Collection Fee and other costs will apply (responsibility of the mare owner).

SIGNATURE OF MARE OWNER:      _________________________________________________________________________________________

STREET ADDRESS  ______________________________________________________________________________________________________

CITY______________________________________________STATE_______________________POSTCODE______________________________

TELEPHONE_______________________________     MOBILE/S  _________________________________________________________________

E-MAIL ADDRESS ________________________________________________________________________________________________________
 

SIGNATURE OF STALLION OWNER/AGENT:       __________________________________________________________

Statene Park (R & M Hanna Pty. Ltd)  ABN  57 089 769 120
80 Scotchmans Road,  Bellarine 3221       or Fax to:  (03) 5253 2088     DATE: ___________________________________

Please print and complete contract and registration form and send with all fees to Statene Park.