Profit Opportunity Analyzer Order Form

AgSource Profit Opportunity Analyzer®Order Form
Date:		5-17-2012
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
Replacement Price ($ / head):
Cull cow price ($ / head):
Calf price ($ / head, average 3 week old):
Mailbox milk price ($ / hundredweight):
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 Address:
We will contact you to set up an appointment to deliver and answer any questions about your POA.

If you are ordering this Profit Opportunity Analyzer for your own dairy ....
Choose this selection: You will be billed $150.

If you are ordering this Profit Opportunity Analyzer for a client ....
Choose this selection: You will be billed $150.

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.