Livestock Market Tag Order Form

Georgia Department of Agriculture

Livestock Market Tag Order Form

Use this form to order Official USDA Metal Scrapie Tags and/or 840 RFID tags.

Please complete all required fields.

Auction Information

Auction Market Name

Contact Person Name

First

Last

Phone Number

Email Address

Shipping Information

Shipping Address

Shipping Address

Address 2

City/Town

State/Province - Select - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

ZIP/Postal Code

Tag Order

Sheep & Goat - Metal Scrapie Tags Quantity Requested:

Cattle EID Tags (840 RFID) Quantity Requested:

Swine EID Tags (840 RFID) Quantity Requested:

Comment Box

Comments:

Confirmation

I confirm that this order is for official use by a licensed livestock market.

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