Clone Order Form

CLONE PRODUCT ORDER & PAYMENT

CHILLED KIT ORDER IN USA & CANADA

For next day delivery please order before 2 PM

For Orders to other countries than USA,
please contact your nearest Clone Office, the USA Main Office or Europe Main Office.

QTY	DESCRIPTION	PRICE	TOTAL AMOUNT
	The Clone Chilled Semen Kit - Complete	$ 65	$ 65
	2 Kits or more	$ 54 /ea	$
	Equipment for Collecting Semen, Shipping and Insemination	$ 20	$
	Set of Buffers - Preservative & Activator	$ 45	$
BREED:

SHIPPING OPTIONS:

Federal Express   (Additional Charge)

     Priority Over Night (Always for Complete Kits!)

     Standard Over Night

CUSTOMER DETAILS: (Address of your Credit Card)

Name
*Street Address*
*City*
*State/Province*
*Zip/Postal Code*
*Country*
*E-mail*
*Telephone*

SHIP TO:

Name
Street Address
City
State/Province
Zip/Postal Code
Country
E-mail
Telephone

PAYMENT for STORAGE or OTHER

	STORAGE: - Stud dogs (1 Dog $ 110 ) (2 Dogs $ 90 ea) (3 or more dogs $ 70 ea)	$
	- Years of Storage (Multiply by total amount $ for storage)	$
	OTHER Payments	$

STUD ID (for storage payment) :

PAYMENT OPTIONS:

        I wish to pay by Check / Money Order (Only by special arrangement: call +1-610-458 5888)

        I wish to pay by :

                VISA   MASTERCARD

                 Account Number:

Exp. Date /

Total Amount to be Charged $ + Shipping Charges

COMMENTS:

If any problems with the server when ordering, please call us at +610-458 5888.

You can also order at: CLONEUSA@AOL.COM or by fax: +610-458 1102