MDGA Milk Testing DHIR Milk Test Application "*" indicates required fields What type of program will you be doing?* 305 Day 1 - Day Which 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/PM Member InformationHerd Owner Name First Last Member Number* Phone*Email* Lab/Testing Information*Lab NameSupervisor/Tester NameTester CertificationPlease upload a copy of your (owner) tester certification. Max. file size: 50 MB.Supervisor CertificationPlease upload a copy of the supervisor certification of the person conducting your tests or Verification Test. Max. file size: 50 MB.Scale CertificationPlease upload a copy of your scale certificationMax. file size: 50 MB.Doe ListPlease only list does to be testedDoe 1 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 1 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 2?* Yes No Doe 2 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 2 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 3?* Yes No Doe 3 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 3 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 4?* Yes No Doe 4 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 4 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 5?* Yes No Doe 5 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 5 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 6?* Yes No Doe 6 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 6 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 7?* Yes No Doe 7 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 7 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 8?* Yes No Doe 8 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 8 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 9?* Yes No Doe 9 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 9 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 10?* Yes No Doe 10 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 10 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 11?* Yes No Doe 11 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 11 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 12?* Yes No Doe 12 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 12 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 13?* Yes No Doe 13 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 13 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 14?* Yes No Doe 14 Information*Full NameReg #Barn NameBirth DateFreshened DateDoe 14 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 15?* Yes No Doe 15 Information*Full NameReg #Barn NameBreedFreshened DateDoe 15 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 16?* Yes No Doe 16 Information*Full NameReg #Barn NameBreedFreshened DateDoe 16 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 17?* Yes No Doe 17 Information*Full NameReg #Barn NameBreedFreshened DateDoe 17 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 18?* Yes No Doe 18 Information*Full NameReg #Barn NameBreedFreshened DateDoe 18 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 19?* Yes No Doe 19 Information*Full NameReg #Barn NameBreedFreshened DateDoe 19 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 20?* Yes No Doe 20 Information*Full NameReg #Barn NameBreedFreshened DateDoe 20 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 21?* Yes No Doe 21 Information*Full NameReg #Barn NameBreedFreshened DateDoe 21 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 22?* Yes No Doe 22 Information*Full NameReg #Barn NameBreedFreshened DateDoe 22 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 23?* Yes No Doe 23 Information*Full NameReg #Barn NameBreedFreshened DateDoe 23 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 24?* Yes No Doe 24 Information*Full NameReg #Barn NameBreedFreshened DateDoe 25 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 25?* Yes No Doe 25 Information*Full NameReg #Barn NameBreedFreshened DateDoe 25 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 26?* Yes No Doe 26 Information*Full NameReg #Barn NameBreedFreshened DateDoe 26 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 27?* Yes No Doe 27 Information*Full NameReg #Barn NameBreedFreshened DateDoe 27 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 28?* Yes No Doe 28 Information*Full NameReg #Barn NameBreedFreshened DateDoe 28 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 29?* Yes No Doe 29 Information*Full NameReg #Barn NameBreedFreshened DateDoe 29 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 30?* Yes No Doe 30 Information*Full NameReg #Barn NameBreedFreshened DateDoe 30 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 31?* Yes No Doe 31 Information*Full NameReg #Barn NameBreedFreshened DateDoe 31 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 32?* Yes No Doe 32 Information*Full NameReg #Barn NameBreedFreshened DateDoe 32 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 33?* Yes No Doe 33 Information*Full NameReg #Barn NameBreedFreshened DateDoe 33 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 34?* Yes No Doe 34 Information*Full NameReg #Barn NameBreedFreshened DateDoe 34 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 35?* Yes No Doe 35 Information*Full NameReg #Barn NameBreedFreshened DateDoe 35 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 36?* Yes No Doe 36 Information*Full NameReg #Barn NameBreedFreshened DateDoe 36 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 37?* Yes No Doe 37 Information*Full NameReg #Barn NameBreedFreshened DateDoe 37 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 38?* Yes No Doe 38 Information*Full NameReg #Barn NameBreedFreshened DateDoe 38 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 39?* Yes No Doe 39 Information*Full NameReg #Barn NameBreedFreshened DateDoe 39 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 40?* Yes No Doe 40 Information*Full NameReg #Barn NameBreedFreshened DateDoe 40 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 41?* Yes No Doe 41 Information*Full NameReg #Barn NameBreedFreshened DateDoe 41 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 42?* Yes No Doe 42 Information*Full NameReg #Barn NameBreedFreshened DateDoe 42 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 43?* Yes No Doe 43 Information*Full NameReg #Barn NameBreedFreshened DateDoe 43 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 44?* Yes No Doe 44 Information*Full NameReg #Barn NameBreedFreshened DateDoe 44 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#Add Doe 45?* Yes No Doe 45 Information*Full NameReg #Barn NameBreedFreshened DateDoe 45 Parents*Sire's Full NameSire's Reg#Dam's Full NameDam's Reg#End of this formIf you have additional does on test, please submit another form. 1 Day Testing* Price: 305 Day Testing* 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 Credit Card PayPal CheckoutPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. Δ
