Allflex Order Form

Complete the online form below or:

Applicant Details
Applicant Name:*
Date
Trading Name:*
Property Identification Code (PIC)*
Property Address:*
City:*
State:*
Code:*
Phone:*
Email*
Delivery Address:*
- Reseller
- Property
- Other
Details
NLIS Tag Order Details
If you have previously ordered Allflex NLIS devices your serial numbers will automatically follow on from the last order. If you require a different series of numbers enter the new start number
White Breeder NLIS
Cattle born on property.
QTY Series Start Number
Orange Post Breeder NLIS
Cattle brought onto the property or Replacement tag.
QTY Series Start Number
Visual Tags
TWO PIECE TAGS: Colours available: White, Green, Purple, Yellow, Red, Blue, Pink, Orange, Black
Female Super Maxi
QTY Colour
Female Maxi
QTY Colour
Female Large
QTY Colour
Female Medium
QTY Colour
Male Maxi
QTY Colour
Male Large
QTY Colour
Male Medium
QTY Colour
Male Button
QTY Colour
A-TAG: Colours available: White, Green, Purple, Yellow, Red, Blue, Pink
MAXI
QTY Colour
LARGE
QTY Colour
FEEDLOT
QTY Colour
Printing
Please indicate the type of printing required for the option of tags selected.
Printing Required:
- Laser Print
Position B
Front Back
Position B/C
Front Back
Position C
Front Back
Position C/D
Front Back
Position D
Front Back
Accessories
Enter quantities required:
Universal Laza Tagger Spare Pin (Universal Laza Matic & Ultra Matic) IdentiPlier Applicator Ultramatic Applicator
Other Accessories:
Accessory Name Qty
Notes

Applicant Details