Prairie Star Performance Horses 
3501 S 154th E, Wichita, Ks 67232 
Phone: 316-733-2761 Fax: 316-733-9194
AprilS9419@aol.com

Veterinary fees for cooled semen transport

1. Next day shipment is $250.00 
2. Same day / counter to counter shipment is $350.00 
3. These fees include collection of the stallion, processing and packaging of semen and the use of an Equitainer for one shipment. Generally two breeding doses are shipped, but there is not a guarantee that two doses will be  available.
4.  Equitainer MUST be returned via next day freight. Lost, damaged, or missing components of the equitainer will be the responsibility of the mare owner to reimburse or replace.
5.  All fees must be PREPAID prior to shipment of semen by Check, Visa, Mastercard or Discover.
6.   Any delays or lost shipments on behalf of the carrier are not the responsibility of  Equine Surgery & Medicine or Prairie Star Performance Horses and fees for semen shipment will not be refunded.

Check one:____Check____Visa____Mastercard____Discover

Credit card number:___________________________________exp.______

I hereby authorize Equine Surgery & Medicine to charge for semen shipment.

Cardholders Printed Name:_______________________________

Owners Name:________________________Ship Semen to:________________________

Address:_____________________________Address:_____________________________

City, State, Zip:_______________________City, State Zip:________________________

Phone:______________________________ Phone:_______________________________

Fax:________________________________ Fax:_________________________________

Email:______________________________ Email:_______________________________

Mares name(s):______________________________________________

Age:_________Reg. #___________________