Flush Entry Form:

I agree to the consignor agreement : YES
Farm/Ranch Name:
Contact Name:
Address:
City:
State:
Zip:
Phone:
Email:
Registered Donor Name:
Registration #:
Tattoo:
Breed:
Date of Birth:
Sire's Full Registered Name & Reg. #:
Dam's Full Registered Name & Reg. #:
Dam's Sire Full Registered Name & Reg. #:
   
Is donor open and ready to flush? Yes
No
Flush Terms:
Time period donor is available:  
From:
To:
   
Technician/Firm handling the flush:
Location:
Footnote Information:
Reserve Bid Price of

The seller has established the above floor price on this lot. 
Once the lot reaches or exceeds this price it will sell. 
Please contact Tyler with any questions  419.230.3450

After submitting you will be redirected to a page with a link to upload photos.