Clone Order Form

CLONE PRODUCT ORDER & PAYMENT

CHILLED KIT ORDER IN USA & CANADA

For next day delivery: Place 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.

Clone USA Secure Online Order Form
*REQUIRED Fields

Products:
Chilled Semen Shipping Kit ($65) (Includes everything needed for collection & insemination)
Multiple (2+) Chilled Semen Kits ($54) (Includes everything needed for collection & insemination)
Equipment for Collecting Semen Shipping & Insemination ($20) (Not needed if ordering shipping kits)
Set of Buffers - Preservative & Activator ($45) (Not needed if ordering shipping kits)
Breed	*

Shipping Via:

Priority Over-Night (Required for Complete Kits)
Standard Over-Night

Customer Details: (Address of your Credit Card)
Customer Name	*
Customer Street Address	*
Customer City	*
Customer State/Province	*
Customer Zip Code	*
Customer Country	*
Customer eMail Address	*
Customer Phone Number	*

Shipping Details: (Must provide - even if same as above)
Shipping Name	*
Shipping Street Address	*
Shipping City	*
Shipping State/Province	*
Shipping Zip Code	*
Shipping Country	*
Shipping eMail Address
Shipping Phone Number	*

Payment Options:
Payment Method		VISA MASTERCARD Check / Money Order (By special arrangement only: Call +1-610-458 5888)
Credit Card Account Number
Credit Card Expiration Date
Total Amount to be Charged	$	Not Including Shipping Charges (Complete total will be provided via e-mail with order invoice)

Comments:

Thank you for your order and trust in our products.
CLONE REPRODUCTION AND FERTILITY

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