Page 38 - Rauriki Charolais 2021 Catalogue ebook

Purchaser Instruction and Insurance Slip

This slip MUST be completed and handed to the Booking Clerk before leaving the sale.

Purchaser name: NAIT No:
Relationship to purchaser (if purchasing on behalf of):

FMG Client Account Number:

Owner name: Owners DOB:* / /
Email:

Postal address:
Delivery address:

Phone: Mobile:
Lot: Tag: $ Breed: DOB:

Company to be debited:
Transport instructions:

FMG Insurance Cover:
� 14 days - FMG Premier Bull cover � Extend cover to 12 months -
(at no charge) FMG Premier Bull cover - 6.5%
I consent to FMG contacting me in future to discuss other products and services. �
If you do not wish to be contacted, please tick here:
I acknowledge and agree for my personal information contained in this purchaser’s slip to be shared
between the parties involved in this bull sale, including but not limited to the vendor or their �
representatives, livestock agencies, transport operators and FMG. The information is shared for the
purpose of completing the sale and purchase of the bull including insurance with FMG.
NO VERBAL
INSTRUCTIONS Signature of Purchaser or Agent: Date: / /
WILL BE ACCEPTED
* This is required to correctly identify you once cover is issued