NABR Order Form - National Bison Association

Member First Name:

Please indicate your first name.

Member Last Name:

Please indicate your last name.

Ranch Name:

Email:

Please indicate your email.

Phone:

Please indicate your phone number.

Address:

Please indicate your address.

City:

Please indicate your city.

State:

Please indicate your state.

Non - US State:

Province:

Zip:

Please indicate your zip code.

Country:

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Herd Prefix - If you don’t have a herd-prefix, please email jim@bisoncentral.com to request one – there is no charge for a herd prefix:

Please indicate your herd prefix.

Age	Price per Animal	Total
Under 13 Months of Age	$20	${{getTotalReg('youth')}}
13 – or Older	$25	${{getTotalReg('adult')}}
TOTAL REGISTRATION FEES		${{getTotalAllReg()}}

Age	Price per Animal	Total
Within 60 Days of Sale	$15	${{getTotalReg('sixtydays')}}
Over 60 Days After Sale	$30	${{getTotalReg('sixtydaysover')}}
TOTAL TRANSFER FEES		${{getTotalAllTrans()}}

Category	Fee	Total
DNA - hybridization	$35	${{getTotalReg('hybridization')}}
DNA - Gene(tic) Diversity/Historic Lineage	$35	${{getTotalReg('dnatest')}}
DNA - parentage	$35	${{getTotalReg('parentage')}}
Annual Report Fee	$50	${{getTotalReg('annfee')}}
Conservation Herd Registry Fee – One-time fee	$110	${{getTotalReg('herdfee')}}
Additional Certificate	$15	${{getTotalReg('addcert')}}
Corrected Certificate	$10	${{getTotalReg('corcert')}}
Lease Agreement Per Head	$10	${{getTotalReg('leaseagree')}}
Pedigree Record	$10	${{getTotalReg('pedrec')}}
Pedigree – Record w/ Photo	$20	${{getTotalReg('pedrecphoto')}}
NBA Active Membership	$250	${{getTotalReg('activemem')}}
TOTAL ADDITIONAL FEES		${{getTotalAdditional()}}

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