Safe-Capture® Order Form

 

To order, fill out this online form, 
 or Call 1-608-767-3071, or a mail-in form is available to print out here

 

Detailed Program 
Outlines

 

Workshop
Schedules

  

Registration Forms

 

 

 

 

 

 

 

 


Name 1:

Farm/Ranch:

Address1:

Address2:

City:

State:                   Province:
            

Postal Code:

Telephone:

Email:

Fax:

* Shipping is $9 total even when ordering multiple speculums.
There is no shipping charge for speculums when ordering with an AI kit

Illumi-Spec II© Small + Light Source
$87.00 each + Shipping * 
Total Number of Illumi-Spec© Small

 Illumi-Spec II© Small and Medium + Light Source

Illumi-Spec II© Medium + Light Source
$92.00 each + Shipping *
Total Number Illumi-Spec© Medium

Illumi-Spec II© Mini + Light Source
$99.00 each + Shipping *
Total Number Illumi-Spec Mini
 Illumi-Spec II© Mini + Light Source

Artificial Insemination Kit
$395.00 + $35.00 shipping, handling and insurance
Total Number of Artificial Insemination Kits		 AI Kit

Please indicate form of payment:
  Check (I will send a check by mail.)

  Credit Card (Visa or MasterCard)
         Card Number: 
         Expiration Date:/
         Name on Card:  

                                                       

 

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