Order Forms - Animal Health Direct

Moxisure Cydectin Early Bird Order Form

Direct order form

Station Name(Required)

Station or account name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Click and collect

Collect from AHD 2 Tumu Way, Longlands, Hastings

Moxisure LA 500ml @ $343.85

Month Required

Cydectin LA 500ml @ $388.70

Month Required

Combination Sheep Oral 20L @ $397.55

Month Required

Active+ Treble 20L @ $642.90

Month Required

Direct order form

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Ultra Min

5 Litre

20 Litre

60 Litre

Time Capsule Lamb

48 Pack

36 Pack

Applicator