Spotted Order Form

Name Sr. Member #
Address Jr. Member #
Phone No

Recording Supplies
Qty Item Price Owed
(Qty x Price)
Breeding Certificates Free Free
Registration Applications (book of 150 litters) $10 $
Pedigree Holder $10 $

Fees
Qty Item Price Owed
(Qty x Price)
Life Membership (Sr) $30 $
Junior Membership (9-18 yrs)
Birthday 		$10 $
Maintenance Fee (Sr. Members) $50 $
Type Conference Entry Fees $
Type Conference Pen Fee $
Maintenance Fee ($50) is payable yearly and is good from May 1 to April 30 of each  year. Maintenance Fee payment includes a one year subscription to the Breeders Digest plus a listing in the Breeder's Directory and on our website.

Breeders Digest
Qty Item Price Owed
(Qty x Price)
First Class Subscription  $35 $
Regular 1 Year Subscription $10 $
Regular 3 Year Subscription  $25 $
Foreign 1 Year Subscription $50 $
* Labels (mailing) $.07/ea $

All items are cash only unless noted otherwise
* Indicates items that can be charged to your account

Herdsman
Qty Item Price Owed
(Qty x Price)
S.P.I. (sow productivity index) - per liter  $3.00 $
Post Weaning Growth and Back Fat - per pig  $1.00 $

Herdsman
Qty Item Price Owed
(Qty x Price)
Level One
Applies to pigs recorded under 90 days of age

Litters

 $15 $
Level Two
Applies to pigs recorded from 91-180 days after farrowing

Litters

 $27.50 $
Level Three
Pigs recorded after 181 days from farrowing

Litters

 $50 $
90/90 Concept
Contract Recorders

Litters (within 90 days of farrow)

 $11 $
Transfers

1-60 days from date of sale

 $1 $

Over 61 days from date of sale

 $10 $
Artificial Insemination
All sellers of semen are required to purchase A.I. Certificates from the NSSR. This certificate is then purchased from the Semen Supplier and must accompany each A.I. litter application for recording eligibility

A.I.

 $15 $
Other Pedigree Work
Change of Name $5 $
Duplicates $1 $
Corrections (per pedigree) $1 $
Five Generation Pedigree $5 $
Litter Correction $5 $

Postage And Handling Charges For Supplies
Dollar Value Of Your Order .$.00 - $10 $10.01 - $30 $30.01 and Up
Shipping & Handling Charge $5 $7.50 $10

Total Remittance
Total Of Order Form $
Date

Chester White Swine  Record Association
Box 9758 - Peoria, IL 61612-9758
Phone: (309) 691-0151
Fax: (309) 691-0168

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