Profit Opportunity Analyzer Order Form

AgSource Profit Opportunity Analyzer®Order Form
Date:		11-7-2009
Dairy or Owner's Name:
Herd Code:
Release Code:
Release Code is a ten letter code on your mailer page & also on the front and back of your Herd Summary in the bottom right corner.


Profit Opportunity Analyzer Inputs
Mailbox milk price ($ / hundredweight):
Replacement Price ($ / head):
Cull cow price ($ / head):
Calf price ($ / head, average 3 week old):
Interest rate (Annual percent):
Use rate for highest interest loan outstanding or average rate from savings investment if you have no debt.


Name of person placing order:
Office/Home Phone:
Email to send Profit Opportunity Analyzer to:
Verify email by re-entering:

If you are ordering this Profit Opportunity Analyzer for your own dairy ....
Choose this selection: You will be billed $100.

If you are ordering this Profit Opportunity Analyzer for a client ....
Choose this selection: You will be billed $100.

Please enter your Service Group number:
or
Name:
Address:
City, State & Zip:		,

Process Report Immediately
Process Report after next test day



If you have questions, call 1-800-236-0097 and ask for Customer Service.