Electronic Animal Registration Form - SMART Reproduction Services

Animal Owner Information

Please complete with current billing information for the owner (representative).

Owner's Name

First

Last

Is this animal owned by more than one person? If so, please identify your group representative.

Owner's Phone/WhatsApp Number

Owner's Email

Owner's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Animal Information

Is this registration for an international export or domestic (in USA) collection project?

International export collection and shipment project collected at the SMART Repro Export Center (animal must complete export screen on farm prior to entry)
For collection of an animal born in USA and collected at the SMART Repro domestic clinic

How would you like to give us the animal information?

Type the information here in this form.
Upload a file containing the animal information.

If you would like to register multiple animals at one time please select the second option and a file upload field will pop up below. Please upload an excel spreadsheet or PDF with a column for each of the fields listed below.

File Upload

Click or drag a file to this area to upload.

Animal's Sex

Male
Female

Animal's Breed

Animal's Registered Name

Animal's Registration Number

Animal's Birthdate

Animal's Tattoos

Can be found on registration papers

Does animal have microchip current installed?

Yes
No

Correct location is midline between the shoulder blades, behind the ear, or in the tail web.

Animal's Microchip Number

If no chip is installed write N/A and one will be installed once the animal arrives at the center.

Animal Purchase Price

Animal's Sex

Male
Female

Animal's Breed

Animal's Registered Name

Animal's Registration Number

Animal's Birthdate

Animal's Tattoos

Can be found on registration papers

Does animal have microchip current installed?

Yes
No

Correct location is midline between the shoulder blades or behind the ear.

Animal's Microchip Number

If no chip is installed write N/A and one will be installed once the animal arrives at the center.

Products to be collected

Products desired from this animal:

Export semen and/or embryos to which country?

Desired Shipment Date of These Products?

Do you have a international broker, freight forwarder, or in country reproduction center you would like us to use to ship your products?

Yes
No

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Website / URL

Desired collection date(s) for products selected above

Collections will happen at SMART Repro domestic clinic and be for use in the USA only. Dates are scheduled subject to availability. Once completed this form will be processed and staff will reach out with scheduling options. Non-refundable deposit is required to schedule your date(s).

Desired Embryo Mating(s)

Please list all matings to produce embryos. IE Buck A x Donor C, Buck A x Donor D.

Number of Embryos Desired from Each Mating Above

Total number of embryos desired from each mating listed above. IE Buck A x Donor C – 50 embryos.

Desired method of cryopreservation for embryo matings above

Direct Transfer
Glycerol
Vitrification

Number of Straws from Each Male Registered

The total number of straws you would like frozen from each male listed above. IE Buck A – 200 straws, Buck B – 50 straws.

Straw size for semen straws

0.5 (1/2) cc straws
0.25 (1/4) cc straws

Seller Information for International Purchase

This section is for the up to date contact information for the person you will be purchasing the animal from. SMART Reproduction will use this information and contact the seller of the animal(s) you would like to purchase and act as your USA agent to execute this transaction.

Seller Name

First

Last

Seller Email

Seller Phone

Would you like the SMART Reproduction to arrange transport from the seller to our center

Yes
No

Seller Pickup Address

Address Line 1

Address Line 2

City

State

Zip Code

If the center is not arranging transport for this animal just include seller’s billing address.

Seller Veterinarian Contact Information

Would you like SMART Reproduction to pay a deposit for this animal?

Yes
No

If yes, please indicate the desired amount

Seller's preferred payment method

Paypal
ACH
Mail check

Pricing and Terms & Conditions

Terms & Conditions

All customers must read and agree to the following Terms & Conditions (opens PDF in new window).

Export Price List

All customers must read and agree to the following 2023 Export Price List (opens PDF in new window).

Agreement

I have read and agree to the above Pricing and Terms & Conditions.

Digital Signature (Legal Name)

First

Last