WHITE BREEDER

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WA ORDER FORM FOR NLIS IDENTIFICATION DEVICES
MATCHING VISUAL TAGS
PROPERTY IDENTIFICATION CODE
THESE PRICES EFFECTIVE AS OF 14TH MAY 2006
W
NAME OF APPLICANT
TRADING NAME
ABN
EMAIL
PROPERTY ADDRESS
DELIVERY ADDRESS
FAX
PHONE
DECLARATION STATEMENT FOR PINK HGP FREE TAGS I,
the owner/Authorised Representative of the owner
(delete as applicable), responsible for the
husbandry of the livestock for which the PIC is
registered, am fully aware of conditions for use
of the HGP FREE Tags and declare that Pink HGP
FRE ear tags covered by this order will be
attached to cattle which have not been treated
with Hormonal Growth Promotants (HGPs) at any
period of their lives. SIGNATURE DATE
SIGNATURE
DATE
PRICE PER UNIT. (INC. GST) 3.42
3.42
QUANTITY REQUIRED

TOTAL COST (INCLUDING GST)
TAG STYLE
IF YOU HAVE PREVIOUSLY ORDERED LEADER TAGS YOUR
SERIES NUMBERS WILL FOLLOW ON FROM YOUR LAST
ORDER. IF YOU REQUIRE A DIFFERENT SERIES OF
NUMBERS PLEASE PRINT BESIDE.
WHITE BREEDER BORN ON PROPERTY
SERIES START No. ___ ___ ___ ___ ___ ___
IF YOU HAVE PREVIOUSLY ORDERED LEADER TAGS YOUR
SERIES NUMBERS WILL FOLLOW ON FROM YOUR LAST
ORDER. IF YOU REQUIRE A DIFFERENT SERIES OF
NUMBERS PLEASE PRINT BESIDE.
ORANGE POST BREEDER BROUGHT ON TO PROP.
SERIES START No. ___ ___ ___ ___ ___ ___
F4
.83c
MATCHING TRANSACTION TAG PLEASE REFER TO
EXISTING HGP ORDER FORM.
F3
.64c
BOLUS- INCLUDES MANAGEMENT TAGS (INC
GST) BREEDER
POST BREEDER
3.80

MATCHING MANAGEMENT TAG AVAILABLE IN YELLOW,
WHITE, RED, PURPLE, PINK (PASTEL), GREEN BLUE.
INCLUDES MALE BUTTON. MARKING IS PIC OVER SERIES
NUMBER. PLEASE INDICATE COLOUR REQUIRED.
F4
1.15

F3
1.10

F2
0.90

APPLICATOR. SAME APPLICATION WILL APPLY
MANAGEMENT NLIS.
38.50
RUMEN BOLUS APPLICATOR. .
82.50
POSTAGE HANDLING 5.50 FOR ELECTRONIC TAGS
PER ORDER AND 11.00 FOR ELECTRONIC AND
MANAGEMENT TAGS PER ORDER.
5.50
11.00

TOTAL
COST

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PLEASE REFER TO THE FOLLOWING PAGE FOR PAYMENT
METHODS
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PLEASE COMPLETE THE FOLLOWING IF YOU WISH TO PAY
BY CREDIT CARD, AND FORWARD YOUR ORDER VIA FAX
TO 03 9308 2755
EXPIRY DATE
PROPERTY IDENTIFICATION No
If you wish to pay via Cheque or Money Order then
please attach that payment with your order and
tick the corresponding box below. Post your order
and Payment to Leader Products Pty Ltd, PO box
42 Craigieburn, Victoria 3064 I AM PAYING THE
FULL AMOUNT BY CHEQUE
MONEY ORDER
Privacy statement The information provided on
this order form may be provided to Commonwealth
and State Government agencies where this is
deemed necessary for market access, and disease
and residue control purposes, and to Meat
Livestock Australia to facilitate the operation
of the National Livestock Identification Scheme.
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