American Bucking Bull, Inc. - The Foundation for the ...



3025140-266700004166235-175260American Bucking Bull, Inc.101 W. Riverwalk, Pueblo, CO 81003Phone: 719-242-2747 Fax: 719-242-274600American Bucking Bull, Inc.101 W. Riverwalk, Pueblo, CO 81003Phone: 719-242-2747 Fax: 719-242-2746-3556015240EID Tag Reorder00EID Tag Reorder Request form is for bulls previously assigned an EID Tag that has been lost.A tag must have previously been purchased and assigned to the bull for whom the EID tag reorder is requested.A tail hair sample is required at the time the EID tag reorder request is submitted.Member Name: _______________ Member #: _____________ Shipping Address: _______________________________________USDA Premise ID:________________City: ______________________________State:ZIP/Postal Code:_______ Country: ________Contact Phone:_______ E-mail: ________________________________*Please complete all information for each bull you are requesting a Re-Tag for.Bull’s ABBI Registration NumberRegistered Herd #Bull NameOffice Use Only DNA Rcvd Office Use Only New EID Tag # _______ Tags Requested X $40.00 per tag = $Add US Shipping: $6.15Add Canada Shipping: $12.50Payment must be received at time of the request. US Funds ONLY.Master Card, Visa, American Express, Discover, Cashier’s Check, Check, or Money Order accepted.Remit forms and payments to: ABBI, 101 W. Riverwalk, Pueblo, CO 81003Fax 719-242-2746. If faxing, please call 719-242-2747 to verify receipt of the fax.Authorized signature for the credit card list below: __________________________________________Name on Credit Card: ____________________________________ Type: (VISA/MC/AMEXP/Discover)Billing Address: ___________________________ City___________ State/Province _______ Country______Card Number: ___________________________________________________________________________Exp. Date: ___________CSV ___________ (back of card) Billing ZIP/POSTAL: ______________________ ................
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