|
Current Owner’s Name
(REQUIRED)
: ___________________________________________
Submitter’s Name (if different from Current Owner) (REQUIRED) : ______________________ Farm: ARI Herd Code/Account # (REQUIRED) : ____________________________________ Address: ________________________________________________________________ Contact Info - Email: ___________________________ Tel/Cell #:____________________ ARI Registered Alpaca Description – All information required for sample testing. Alpaca Name: ______________________________ARI Reg # : _____________________ Breed: Huacaya_______ or Suri______ Sex:__________ Color: _____________________ Date of Birth (mm/dd/yy)________________ Sample Date: (mm/dd/yy) ______________ Date of Previous Shearing (mm/dd/yy): ___________Total Fleece Weight (Lbs): ________ ACKNOWLEDGEMENT/DISCLAIMER: I hereby grant Australian Alpaca Fibre Testing (AAFT) the right to transmit any and all data derived from this sample to the ARI EPD program for analysis and I understand that AAFT will not be responsible for maintaining the confidentiality of the data once transmitted. I hereby certify that all above information is correct. I understand that I will receive this test data in the form of a printed histogram report from AAFT. Signed: ____________________________Dated: ___________________________ Print Name: _______________________________
Australian Alpaca Fibre Testing ARI EPD Program Sample Submission
I, ………………………………………………………. (name) of…………………………………………………………………………………………………… …………………………………………………………………………….……………… (address) declare that to the best of my knowledge, the enclosed samples, described as ……………………………………………………………………………………………... ………………………………………………….(description – eg alpaca fibre samples & number) are being sent by post, the samples are free of weed seeds and faeces, have been scoured by recognised means and each sample weighs not more than 500g’s.
Signed …………………………………………………………. Date………………………………. |