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DOWNLOAD PDF VACCINE ORDER FORM
or complete the online form below.
*
Indicates required field
Please Select Desired Vaccine
*
Viral EHD & BTV
Viral EHD
Cervid Bacterin ONLY
Number of Doses
*
Minimum purchase – 1 bottle = 50 doses
Member's Name
*
First
Last
Business/Ranch Name
*
Member #
*
Phone Number
*
Email
*
Fax Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Vet Clinic
*
Vet's Name
*
Veterinarian Clinic Address
*
Line 1
Line 2
City
State
Zip Code
Country
Vet's Email
*
Vet's Phone Number
*
Ship To Address
*
Line 1
Line 2
City
State
Zip Code
Country
Responsible for Payment
*
Member
Veterinarian
Type your name below for your digital signature
*
Date
*
*The approval process can take up to 3 weeks.
Payment Method
*
Credit Card - I will call the DBC with my credit card info within 48 hours after submitting this form.
Check - I will send my check within 48 hours to the mailing address below. (Vaccine will not be shipped until the office receives this check)
Please make all Checks Payable to:
The Deer Breeders Corporation
PO Box 688
Millsap, TX 76066
(972) 289-3100
Submit
Home
Members
Membership Map
Featured Breeder Stories
Golden Buck
About Us
Board of Directors
DBC Staff
What DBC Does for You
Bylaws & Committees
Careers & Employment
Story Submission
Events
Auctions & Conventions
Dates to Remember
DBC Breeder Seminars
Rules & Research
EHD
CWD
TTU
TWIMS
TPWD & TAHC
Legislative Updates
Forms
Contact Us