MDGA Milk TestingDHIR Milk Test Application "*" indicates required fieldsWhat type of program will you be doing?* 305 Day 1 - Day 1 - Day Multiple OwnersWhich test plan will you be participating in?*Please refer to our website to see which plan is best for you. Standard Owner Sampler Group EOM AM/PMApplicant InformationApplicant Name First Last Member Number*Phone*Email* Event InformationShow Secretary First Last Show Secretary EmailShow Secretary PhoneEvent Name and LocationEvent Date Supervisor and Lab InformationLab/Testing Information*Lab NameSupervisor/Tester NameTester CertificationPlease upload a copy of your (owner) tester certification.Max. file size: 256 MB.Supervisor CertificationPlease upload a copy of the supervisor certification of the person conducting your tests or Verification Test.Max. file size: 256 MB.Scale CertificationPlease upload a copy of your scale certificationMax. file size: 256 MB.Additional Documents or CertificationsIf you need to add additional supervisor certs or documents.Max. file size: 256 MB.Additional Documents or CertificationsIf you need to add additional supervisor certs or documents.Max. file size: 256 MB.Additional Documents or CertificationsIf you need to add additional supervisor certs or documents.Max. file size: 256 MB.Notes to the Milk Committee?Doe ListPlease only list does to be testedDoe 1 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 2?* Yes NoDoe 2 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 3?* Yes NoDoe 3 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 4?* Yes NoDoe 4 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 5?* Yes NoDoe 5 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 6?* Yes NoDoe 6 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 7?* Yes NoDoe 7 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 8?* Yes NoDoe 8 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 9?* Yes NoDoe 9 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 10?* Yes NoDoe 10 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 11?* Yes NoDoe 11 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 12?* Yes NoDoe 12 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 13?* Yes NoDoe 13 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 14?* Yes NoDoe 14 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 15?* Yes NoDoe 15 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 16?* Yes NoDoe 16 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 17?* Yes NoDoe 17 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 18?* Yes NoDoe 18 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 19?* Yes NoDoe 19 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 20?* Yes NoDoe 20 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 21?* Yes NoDoe 21 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 22?* Yes NoDoe 22 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 23?* Yes NoDoe 23 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 24?* Yes NoDoe 24 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 25?* Yes NoDoe 25 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 26?* Yes NoDoe 26 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 27?* Yes NoDoe 27 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 28?* Yes NoDoe 28 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 29?* Yes NoDoe 29 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 30?* Yes NoDoe 30 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 31?* Yes NoDoe 31 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 32?* Yes NoDoe 32 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 33?* Yes NoDoe 33 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 34?* Yes NoDoe 34 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 35?* Yes NoDoe 35 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 36?* Yes NoDoe 36 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 37?* Yes NoDoe 37 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 38?* Yes NoDoe 38 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 39?* Yes NoDoe 39 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 40?* Yes NoDoe 40 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 41?* Yes NoDoe 41 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 42?* Yes NoDoe 42 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 43?* Yes NoDoe 43 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 44?* Yes NoDoe 44 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)Add Doe 45?* Yes NoDoe 45 Information*Full NameReg #Barn NameBirth DateFreshened Date (For 1 Day only)End of this formIf you have additional does on test, please submit another form.1 Day Testing* Price: 305 Day Testing* Price: 1 Day Testing - Multiple Owners* Price: 305 Day Testing*1-5 Does ($20)6-10 Does ($24)11-15 Does ($28)16-20 Does ($32)21-25 Does ($36)26-30 Does ($40)31-40 Does ($48)41-45 Does ($52)Per Doe Fee QuantityPlease specify the number of does you are testing. Price: $5.00 Quantity CheckoutTotal Payment Method* PayPal Credit/Debit Card Use Credit On My AccountCredit Card PayPal CheckoutPayPal CheckoutMasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ