Online Release Form - Great Lakes Sire Service

Select Species for Release*

Bovine Release

Whitetail Release

Other Release

Select Release Type*

Shipping Release

Transfer Release

SHIPPING means you want semen shipped to you or the person indicated.
TRANSFER means that semen will be put into storage of person indicated at GLSS; it will NOT BE SHIPPED.

Release Semen To:

Name*

First Last

Phone*

Email*

Enter Email Confirm Email

Transfer Type*

Tranfer Inventory at GLSS

Customer Pickup at GLSS

Release Semen and Ship To:

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Enter Email Confirm Email

Insurance:*

Yes

No

Do you want insurance on semen shipped? Insurance is available for $0.015/$1 written value of semen.

Value for Insurance

Enter total value of semen being shipped for insurance calculation.

Shipping Method*

UPS Ground

Overnight

2 Day Select

Other

Other Shipping Method

Billing Information

Pre-Payments are required for new GLSS customers and/or if customers are depleting entire inventories.

Billing Contact Same as Ship To Recipient*

YES - Use Shipping Contact for Billing

NO - Bill Owner

Bill Third Party

Alternate Billing Name*

First Last

Alternate Billing Phone*

Alternate Billing Email*

Enter Email Confirm Email

Alternate Billing Address*

Street Address Address Line 2 City State ZIP Code

Semen Release

Enter Sire Name and Number We are not responsible for shipments with 'all' listed on form. Buck or Bull names need to be listed with straw numbers.

Release List*

Sire Name

Number of Straws

Add as many sires as needed. Use the '+' sign to add more.

Owner Release

Farm / Ranch Name*

Name*

First Last

Phone*

Email*

Enter Email Confirm Email

Whitetail AI Date

Semen Tank

Yes

No

I will require the use of a GLSS Semen Tank on AI Day

Do you understand and agree to the terms listed above?*

Yes, I understand and agree to the terms listed above.

OWNER SIGNATURE (type name to sign)*

I certify that this information is complete and accurate.

Please review your release closely. Especially the shipping address for shipping releases. If you need to make changes, use the PREVIOUS BUTTON to go back and make changes. {all_fields}

Name

This field is for validation purposes and should be left unchanged.

GLSS Release Form

Release Semen To:

Release Semen and Ship To:

Billing Information

Semen Release

Owner Release

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