ORDER FORM
NABR ORDER
FORM
ORDER
FORM
NORTH AMERICAN BISON REGISTRY
National Bison Assn., 8690 Wolff Ct. #200, Westminster CO 80031
National
Bison Assn.,
8690
Wolff Ct. #200,
303.292.2833
Phone
– 303.845.9081
FaxWestminster CO 80031
303.292.2833
Phone – 303.845.9081
Fax
[email protected]
www.bisoncentral.com
- www.bisoncentral.com
[email protected] - www.bisoncentral.com
Date: _____________________
Date: _____________________
Member Name: ______________________________ Ranch Name: _________________________________________
Address:
City ________________
State _____ Zip ______________________
Member
Name:__________________________________
______________________________ Ranch
Name: _________________________________________
Herd __________________________________
Prefix: ______ Phone No.: ___________________________
Address:
City ________________ State _____ Zip ______________________
Herd Prefix: ______ Phone No.: ___________________________
North American Bison Registration fees
Age Registration fees
Qty.
Price per Animal
Total
North American Bison
Under 13Age
Months of Age
Qty.
Price per Animal $20
Total
or Olderof Age
Under1313– Months
$20 $25
TOTAL REGISTRATION
13 – or Older
$25FEES
TOTAL REGISTRATION FEES
TRANSFER FEES
Qty.
Price per Animal
Total
TRANSFER FEESAge
Within 60
Days of Sale
Age
Qty.
Price per Animal $15
Total
60 Days
After Sale
WithinOver
60 Days
of Sale
$15 $30
TOTAL TRANSFER
Over 60 Days After Sale
$30FEES
TOTAL TRANSFER FEES
ADDITIONAL FEES
Category
Qty.
Fee
Total
ADDITIONAL FEES
DNA Category
- hybridization
$35
Qty.
Fee
Total
- parentage
DNA DNA
- hybridization
$35 $35
testing
Call or $35
email for
DNA Additional
- parentage
(Price
depends
on
test)
Pricing
Additional testing
Call or email for
Annual
Report
Fee
(Price depends on test)
Pricing $50
Conservation
Herd
Registry
Annual Report Fee
$50$110
Fee
–
One-time
fee
Conservation Herd Registry
$110
$15
Fee –Additional
One-timeCertificate
fee
Corrected
Certificate
Additional
Certificate
$15 $10
LeaseCertificate
Agreement Per Head
Corrected
$10 $10
Record
LeasePedigree
Agreement
Per Head
$10 $10
Pedigree
– Record w/ Photo
Pedigree
Record
$10 $20
NBA –Active
Membership
Pedigree
Record
w/ Photo
$20$250
TOTAL ADDITIONAL
NBA Active Membership
$250FEES
TOTAL ADDITIONAL FEES
REGISTRATION TOTALS
REGISTRATION
ADDITIONALTOTALS
TOTALS
ADDITIONAL TOTALS
GRAND TOTAL
GRAND TOTAL
Instructions:
Instructions:
Every registrant needs a herd prefix. There is no charge for a herd prefix, but you need to contact NBA
Every
registrant
needs Jim
a herd
prefix. There
is no charge
a herd [email protected],
prefix, but you need to contact
NBA the NBA
Assistant
Director,
Matheson
to establish
one byfor
emailing
or by calling
Assistant
Director,
Jim
Matheson
to
establish
one
by
emailing
or
by
calling
the NBA
[email protected],
at (303) 292-2833.
at (303) 292-2833.
ORDER FORM
For DNA testing, please pluck 20 – 30 tail hairs with good follicles on the end, which is what will provide
good DNA analysis. Save those hair samples in a PAPER envelope (No plastic please), and properly
identify. Keep in a cool, dry place and the sample should stay well preserved. Mail the samples to :
NABR
PO Box 557
Stratford OK 74872
Payment options include Credit Card, Check or Cash. NBA members can also choose to be invoiced by
completing the online application here, or by emailing this form to [email protected], or by faxing to
(303) 845-9081.
Credit Card Number (AE, DISC, MC, or VISA) – Call the NBA with a Credit Card, or to check if we already
have one on file.
Expiration Date