Submitted by        *

 

Seller ID #         *       First Name   *    Last Name   *

Animal #           *          Animal Name      *  

 

Buyer ID #      *  Buyer First Name  *  Buyer Last Name  *

(If the buyer is a current member, it is not necessary to fill out the information below)

Address      City     State        

Zip    Phone    Email 

Farm Name      Check number        Payment    Please select check online

(Fill in all boxes, click Submit (below) then go to the home page and select Online payment

or Mail check to ADCA 4150 Merino Av Watertown, MN 55388