vas.com Open in urlscan Pro
141.193.213.20  Public Scan

Submitted URL: http://vas.com/
Effective URL: https://vas.com/
Submission Tags: tranco_l324
Submission: On June 03 via api from DE — Scanned from DE

Form analysis 7 forms found in the DOM

GET https://vas.com

<form class="elementor-search-form" action="https://vas.com" method="get">
  <div class="elementor-search-form__container">
    <label class="elementor-screen-only" for="elementor-search-form-33b2b6f">Search</label>
    <input id="elementor-search-form-33b2b6f" placeholder="Search..." class="elementor-search-form__input" type="search" name="s" value="">
    <button class="elementor-search-form__submit" type="submit" aria-label="Search">
      <div class="e-font-icon-svg-container"><svg class="fa fa-search e-font-icon-svg e-fas-search" viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg">
          <path
            d="M505 442.7L405.3 343c-4.5-4.5-10.6-7-17-7H372c27.6-35.3 44-79.7 44-128C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c48.3 0 92.7-16.4 128-44v16.3c0 6.4 2.5 12.5 7 17l99.7 99.7c9.4 9.4 24.6 9.4 33.9 0l28.3-28.3c9.4-9.4 9.4-24.6.1-34zM208 336c-70.7 0-128-57.2-128-128 0-70.7 57.2-128 128-128 70.7 0 128 57.2 128 128 0 70.7-57.2 128-128 128z">
          </path>
        </svg></div> <span class="elementor-screen-only">Search</span>
    </button>
  </div>
</form>

POST /

<form id="wpforms-form-19657" class="wpforms-validate wpforms-form" data-formid="19657" method="post" enctype="multipart/form-data" action="/" data-token="e088014e2105bd0866db45d03eec5bf4" data-token-time="1717381637"><noscript
    class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-field-container">
    <div id="wpforms-19657-field_3-container" class="wpforms-field wpforms-field-name form-field-input" data-field-id="3"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_3">Name <span
          class="wpforms-required-label">*</span></label>
      <div class="wpforms-field-row wpforms-field-large">
        <div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-19657-field_3" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][3][first]" placeholder="First Name"
            required=""><label for="wpforms-19657-field_3" class="wpforms-field-sublabel after wpforms-sublabel-hide">First</label></div>
        <div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-19657-field_3-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][3][last]" placeholder="Last Name" required=""><label
            for="wpforms-19657-field_3-last" class="wpforms-field-sublabel after wpforms-sublabel-hide">Last</label></div>
      </div>
    </div>
    <div id="wpforms-19657-field_17-container" class="wpforms-field wpforms-field-layout" data-field-id="17"><label class="wpforms-field-label wpforms-label-hide">Layout</label>
      <div class="wpforms-field-layout-columns wpforms-field-layout-preset-50-50">
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-19657-field_2-container" class="wpforms-field wpforms-field-text form-field-input" data-field-id="2"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_2">Dairy/Company <span
                class="wpforms-required-label">*</span></label><input type="text" id="wpforms-19657-field_2" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][2]" placeholder="Dairy/Company Name" required=""></div>
          <div id="wpforms-19657-field_5-container" class="wpforms-field wpforms-field-number form-field-input" data-field-id="5"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_5">Phone <span
                class="wpforms-required-label">*</span></label><input type="number" id="wpforms-19657-field_5" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][5]" placeholder="Phone" required=""></div>
          <div id="wpforms-19657-field_20-container" class="wpforms-field wpforms-field-text" data-field-id="20"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_20">Country <span
                class="wpforms-required-label">*</span></label><input type="text" id="wpforms-19657-field_20" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][20]" placeholder="Country" required=""></div>
        </div>
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-19657-field_4-container" class="wpforms-field wpforms-field-email form-field-input" data-field-id="4"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_4">Email <span
                class="wpforms-required-label">*</span></label><input type="email" id="wpforms-19657-field_4" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][4]" placeholder="Email" spellcheck="false" required=""></div>
          <div id="wpforms-19657-field_19-container" class="wpforms-field wpforms-field-text" data-field-id="19"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_19">State/Province <span
                class="wpforms-required-label">*</span></label><input type="text" id="wpforms-19657-field_19" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][19]" placeholder="State/Province" required=""></div>
        </div>
      </div>
    </div>
    <div id="wpforms-19657-field_15-container" class="wpforms-field wpforms-field-textarea form-field-input" data-field-id="15"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-19657-field_15">Comments</label><textarea
        id="wpforms-19657-field_15" class="wpforms-field-small wpforms-limit-characters-enabled" data-form-id="19657" data-field-id="15" data-text-limit="100" name="wpforms[fields][15]" placeholder="Comments / Questions" maxlength="100"></textarea>
    </div>
    <div id="wpforms-19657-field_12-container" class="wpforms-field wpforms-field-hidden" data-field-id="12"><input type="hidden" id="wpforms-19657-field_12" name="wpforms[fields][12]" value="Website – Contact Us"></div>
  </div><!-- .wpforms-field-container -->
  <div class="wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3"><input type="hidden" name="wpforms[recaptcha]" value=""></div>
  <div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="19657"><input type="hidden" name="page_title" value="Home"><input type="hidden" name="page_url" value="https://vas.com/"><input type="hidden" name="page_id"
      value="9"><input type="hidden" name="wpforms[post_id]" value="9"><button type="submit" name="wpforms[submit]" id="wpforms-submit-19657" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive"
      value="wpforms-submit">Submit</button></div>
</form>

POST /

<form id="wpforms-form-21459" class="wpforms-validate wpforms-form" data-formid="21459" method="post" enctype="multipart/form-data" action="/" data-token="40c5737993abd8b0935bdcc188572560" data-token-time="1717381637"><noscript
    class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-page-indicator progress" data-indicator="progress" data-indicator-color="#004c75" data-scroll="1"><span class="wpforms-page-indicator-page-title"></span><span class="wpforms-page-indicator-page-title-sep" style="display:none;">
      - </span><span class="wpforms-page-indicator-steps">Step <span class="wpforms-page-indicator-steps-current">1</span> of 3</span>
    <div class="wpforms-page-indicator-page-progress-wrap">
      <div class="wpforms-page-indicator-page-progress" style="width:33.3333333333%;background-color:#004c75"></div>
    </div>
  </div>
  <div class="wpforms-field-container">
    <div class="wpforms-page wpforms-page-1 " data-page="1">
      <div id="wpforms-21459-field_23-container" class="wpforms-field wpforms-field-pagebreak" data-field-id="23"></div>
      <div id="wpforms-21459-field_3-container" class="wpforms-field wpforms-field-name" data-field-id="3"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21459-field_3">Name <span class="wpforms-required-label">*</span></label>
        <div class="wpforms-field-row wpforms-field-large">
          <div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-21459-field_3" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][3][first]" placeholder="First Name"
              required=""><label for="wpforms-21459-field_3" class="wpforms-field-sublabel after wpforms-sublabel-hide">First</label></div>
          <div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-21459-field_3-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][3][last]" placeholder="Last Name" required=""><label
              for="wpforms-21459-field_3-last" class="wpforms-field-sublabel after wpforms-sublabel-hide">Last</label></div>
        </div>
      </div>
      <div id="wpforms-21459-field_5-container" class="wpforms-field wpforms-field-number" data-field-id="5"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21459-field_5">Phone <span
            class="wpforms-required-label">*</span></label><input type="number" id="wpforms-21459-field_5" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][5]" placeholder="Phone" required=""></div>
      <div id="wpforms-21459-field_4-container" class="wpforms-field wpforms-field-email" data-field-id="4"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21459-field_4">Email <span
            class="wpforms-required-label">*</span></label><input type="email" id="wpforms-21459-field_4" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][4]" placeholder="Email" spellcheck="false" required=""></div>
      <div id="wpforms-21459-field_22-container" class="wpforms-field wpforms-field-pagebreak" data-field-id="22">
        <div class="wpforms-clear wpforms-pagebreak-left"><button class="wpforms-page-button wpforms-page-next" data-action="next" data-page="1" data-formid="21459" disabled="">Next</button>
          <div class="wpforms-lead-forms-progress">
            <div role="progressbar" class="wpforms-lead-forms-progress-bar" style="width: 25%;" aria-valuenow="1" aria-valuemin="1" aria-valuemax="4"></div>
          </div>
        </div>
      </div>
    </div>
    <div class="wpforms-page wpforms-page-2  " data-page="2" style="display:none;">
      <div id="wpforms-21459-field_2-container" class="wpforms-field wpforms-field-text" data-field-id="2"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21459-field_2">Dairy Name <span
            class="wpforms-required-label">*</span></label><input type="text" id="wpforms-21459-field_2" class="wpforms-field-large wpforms-field-required wpforms-limit-characters-enabled" data-form-id="21459" data-field-id="2" data-text-limit="50"
          name="wpforms[fields][2]" placeholder="Dairy Name" maxlength="50" required=""></div>
      <div id="wpforms-21459-field_21-container" class="wpforms-field wpforms-field-address" data-field-id="21"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21459-field_21">Address <span
            class="wpforms-required-label">*</span></label>
        <div class="wpforms-field-row wpforms-field-large">
          <div><input type="text" id="wpforms-21459-field_21" class="wpforms-field-address-address1 wpforms-field-required" name="wpforms[fields][21][address1]" placeholder="Street Address" required=""><label for="wpforms-21459-field_21"
              class="wpforms-field-sublabel after wpforms-sublabel-hide">Address Line 1</label></div>
        </div>
        <div class="wpforms-field-row wpforms-field-large">
          <div class="wpforms-field-row-block wpforms-one-half wpforms-first"><input type="text" id="wpforms-21459-field_21-city" class="wpforms-field-address-city wpforms-field-required" name="wpforms[fields][21][city]" placeholder="City"
              required=""><label for="wpforms-21459-field_21-city" class="wpforms-field-sublabel after wpforms-sublabel-hide">City</label></div>
          <div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-21459-field_21-state" class="wpforms-field-address-state wpforms-field-required" name="wpforms[fields][21][state]" required=""><label
              for="wpforms-21459-field_21-state" class="wpforms-field-sublabel after wpforms-sublabel-hide">State / Province / Region</label></div>
        </div>
        <div class="wpforms-field-row wpforms-field-large">
          <div class="wpforms-field-row-block wpforms-one-half"><select id="wpforms-21459-field_21-country" class="wpforms-field-address-country wpforms-field-required" name="wpforms[fields][21][country]" value="US" required="">
              <option value="AF">Afghanistan</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AQ">Antarctica</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia (Plurinational State of)</option>
              <option value="BQ">Bonaire, Saint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi</option>
              <option value="CV">Cabo Verde</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CA">Canada</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo (Democratic Republic of the)</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="CI">Côte d'Ivoire</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="SZ">Eswatini (Kingdom of)</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GG">Guernsey</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="HM">Heard Island and McDonald Islands</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran (Islamic Republic of)</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland (Republic of)</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">Korea (Democratic People's Republic of)</option>
              <option value="KR">Korea (Republic of)</option>
              <option value="XK">Kosovo</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia (Federated States of)</option>
              <option value="MD">Moldova (Republic of)</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MK">North Macedonia (Republic of)</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestine (State of)</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PN">Pitcairn</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RO">Romania</option>
              <option value="RU">Russian Federation</option>
              <option value="RW">Rwanda</option>
              <option value="RE">Réunion</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="MF">Saint Martin (French part)</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="RS">Serbia</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SX">Sint Maarten (Dutch part)</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia</option>
              <option value="ZA">South Africa</option>
              <option value="GS">South Georgia and the South Sandwich Islands</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan, Republic of China</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania (United Republic of)</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="TR">Türkiye</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom of Great Britain and Northern Ireland</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="US" selected="selected">United States of America</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
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POST /

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Name: New FormPOST

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    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_eb6f26a elementor-col-33">
      <label for="form-field-field_eb6f26a" class="elementor-field-label"> City </label>
      <input size="1" type="text" name="form_fields[field_eb6f26a]" id="form-field-field_eb6f26a" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="City">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6c46cd1 elementor-col-33">
      <label for="form-field-field_6c46cd1" class="elementor-field-label"> State/Province </label>
      <input size="1" type="text" name="form_fields[field_6c46cd1]" id="form-field-field_6c46cd1" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="State/Province">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6da37c1 elementor-col-33">
      <label for="form-field-field_6da37c1" class="elementor-field-label"> Zip/Postal </label>
      <input size="1" type="text" name="form_fields[field_6da37c1]" id="form-field-field_6da37c1" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Zip/Postal">
    </div>
    <div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_eb63b0b elementor-col-50">
      <label for="form-field-field_eb63b0b" class="elementor-field-label"> Country </label>
      <div class="elementor-field elementor-select-wrapper remove-before ">
        <div class="select-caret-down-wrapper">
          <svg aria-hidden="true" class="e-font-icon-svg e-eicon-caret-down" viewBox="0 0 571.4 571.4" xmlns="http://www.w3.org/2000/svg">
            <path d="M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z"></path>
          </svg>
        </div>
        <select name="form_fields[field_eb63b0b]" id="form-field-field_eb63b0b" class="elementor-field-textual elementor-size-sm">
          <option value="Afghanistan">Afghanistan</option>
          <option value="Albania">Albania</option>
          <option value="Algeria">Algeria</option>
          <option value="Andorra">Andorra</option>
          <option value="Angola">Angola</option>
          <option value="Antigua and Barbuda">Antigua and Barbuda</option>
          <option value="Argentina">Argentina</option>
          <option value="Armenia">Armenia</option>
          <option value="Australia">Australia</option>
          <option value="Austria">Austria</option>
          <option value="Azerbaijan">Azerbaijan</option>
          <option value="Bahamas">Bahamas</option>
          <option value="Bahrain">Bahrain</option>
          <option value="Bangladesh">Bangladesh</option>
          <option value="Barbados">Barbados</option>
          <option value="Belarus">Belarus</option>
          <option value="Belgium">Belgium</option>
          <option value="Belize">Belize</option>
          <option value="Benin">Benin</option>
          <option value="Bhutan">Bhutan</option>
          <option value="Bolivia">Bolivia</option>
          <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
          <option value="Botswana">Botswana</option>
          <option value="Brazil">Brazil</option>
          <option value="Brunei">Brunei</option>
          <option value="Bulgaria">Bulgaria</option>
          <option value="Burkina Faso">Burkina Faso</option>
          <option value="Burundi">Burundi</option>
          <option value="Cabo Verde">Cabo Verde</option>
          <option value="Cambodia">Cambodia</option>
          <option value="Cameroon">Cameroon</option>
          <option value="Canada">Canada</option>
          <option value="Central African Republic (CAR)">Central African Republic (CAR)</option>
          <option value="Chad">Chad</option>
          <option value="Chile">Chile</option>
          <option value="China">China</option>
          <option value="Colombia">Colombia</option>
          <option value="Comoros">Comoros</option>
          <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
          <option value="Congo, Republic of the">Congo, Republic of the</option>
          <option value="Costa Rica">Costa Rica</option>
          <option value="Cote d'Ivoire">Cote d'Ivoire</option>
          <option value="Croatia">Croatia</option>
          <option value="Cuba">Cuba</option>
          <option value="Cyprus">Cyprus</option>
          <option value="Czechia">Czechia</option>
          <option value="Denmark">Denmark</option>
          <option value="Djibouti">Djibouti</option>
          <option value="Dominica">Dominica</option>
          <option value="Dominican Republic">Dominican Republic</option>
          <option value="Ecuador">Ecuador</option>
          <option value="Egypt">Egypt</option>
          <option value="El Salvador">El Salvador</option>
          <option value="Equatorial Guinea">Equatorial Guinea</option>
          <option value="Eritrea">Eritrea</option>
          <option value="Estonia">Estonia</option>
          <option value="Eswatini (formerly Swaziland)">Eswatini (formerly Swaziland)</option>
          <option value="Ethiopia">Ethiopia</option>
          <option value="Fiji">Fiji</option>
          <option value="Finland">Finland</option>
          <option value="France">France</option>
          <option value="Gabon">Gabon</option>
          <option value="Gambia">Gambia</option>
          <option value="Georgia">Georgia</option>
          <option value="Germany">Germany</option>
          <option value="Ghana">Ghana</option>
          <option value="Greece">Greece</option>
          <option value="Grenada">Grenada</option>
          <option value="Guatemala">Guatemala</option>
          <option value="Guinea">Guinea</option>
          <option value="Guinea-Bissau">Guinea-Bissau</option>
          <option value="Guyana">Guyana</option>
          <option value="Haiti">Haiti</option>
          <option value="Honduras">Honduras</option>
          <option value="Hungary">Hungary</option>
          <option value="Iceland">Iceland</option>
          <option value="India">India</option>
          <option value="Indonesia">Indonesia</option>
          <option value="Iran">Iran</option>
          <option value="Iraq">Iraq</option>
          <option value="Ireland">Ireland</option>
          <option value="Israel">Israel</option>
          <option value="Italy">Italy</option>
          <option value="Jamaica">Jamaica</option>
          <option value="Japan">Japan</option>
          <option value="Jordan">Jordan</option>
          <option value="Kazakhstan">Kazakhstan</option>
          <option value="Kenya">Kenya</option>
          <option value="Kiribati">Kiribati</option>
          <option value="Kosovo">Kosovo</option>
          <option value="Kuwait">Kuwait</option>
          <option value="Kyrgyzstan">Kyrgyzstan</option>
          <option value="Laos">Laos</option>
          <option value="Latvia">Latvia</option>
          <option value="Lebanon">Lebanon</option>
          <option value="Lesotho">Lesotho</option>
          <option value="Liberia">Liberia</option>
          <option value="Libya">Libya</option>
          <option value="Liechtenstein">Liechtenstein</option>
          <option value="Lithuania">Lithuania</option>
          <option value="Luxembourg">Luxembourg</option>
          <option value="Madagascar">Madagascar</option>
          <option value="Malawi">Malawi</option>
          <option value="Malaysia">Malaysia</option>
          <option value="Maldives">Maldives</option>
          <option value="Mali">Mali</option>
          <option value="Malta">Malta</option>
          <option value="Marshall Islands">Marshall Islands</option>
          <option value="Mauritania">Mauritania</option>
          <option value="Mauritius">Mauritius</option>
          <option value="Mexico">Mexico</option>
          <option value="Micronesia">Micronesia</option>
          <option value="Moldova">Moldova</option>
          <option value="Monaco">Monaco</option>
          <option value="Mongolia">Mongolia</option>
          <option value="Montenegro">Montenegro</option>
          <option value="Morocco">Morocco</option>
          <option value="Mozambique">Mozambique</option>
          <option value="Myanmar (formerly Burma)">Myanmar (formerly Burma)</option>
          <option value="Namibia">Namibia</option>
          <option value="Nauru">Nauru</option>
          <option value="Nepal">Nepal</option>
          <option value="Netherlands">Netherlands</option>
          <option value="New Zealand">New Zealand</option>
          <option value="Nicaragua">Nicaragua</option>
          <option value="Niger">Niger</option>
          <option value="Nigeria">Nigeria</option>
          <option value="North Korea">North Korea</option>
          <option value="North Macedonia (formerly Macedonia)">North Macedonia (formerly Macedonia)</option>
          <option value="Norway">Norway</option>
          <option value="Oman">Oman</option>
          <option value="Pakistan">Pakistan</option>
          <option value="Palau">Palau</option>
          <option value="Palestine">Palestine</option>
          <option value="Panama">Panama</option>
          <option value="Papua New Guinea">Papua New Guinea</option>
          <option value="Paraguay">Paraguay</option>
          <option value="Peru">Peru</option>
          <option value="Philippines">Philippines</option>
          <option value="Poland">Poland</option>
          <option value="Portugal">Portugal</option>
          <option value="Qatar">Qatar</option>
          <option value="Romania">Romania</option>
          <option value="Russia">Russia</option>
          <option value="Rwanda">Rwanda</option>
          <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
          <option value="Saint Lucia">Saint Lucia</option>
          <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
          <option value="Samoa">Samoa</option>
          <option value="San Marino">San Marino</option>
          <option value="Sao Tome and Principe">Sao Tome and Principe</option>
          <option value="Saudi Arabia">Saudi Arabia</option>
          <option value="Senegal">Senegal</option>
          <option value="Serbia">Serbia</option>
          <option value="Seychelles">Seychelles</option>
          <option value="Sierra Leone">Sierra Leone</option>
          <option value="Singapore">Singapore</option>
          <option value="Slovakia">Slovakia</option>
          <option value="Slovenia">Slovenia</option>
          <option value="Solomon Islands">Solomon Islands</option>
          <option value="Somalia">Somalia</option>
          <option value="South Africa">South Africa</option>
          <option value="South Korea">South Korea</option>
          <option value="South Sudan">South Sudan</option>
          <option value="Spain">Spain</option>
          <option value="Sri Lanka">Sri Lanka</option>
          <option value="Sudan">Sudan</option>
          <option value="Suriname">Suriname</option>
          <option value="Sweden">Sweden</option>
          <option value="Switzerland">Switzerland</option>
          <option value="Syria">Syria</option>
          <option value="Taiwan">Taiwan</option>
          <option value="Tajikistan">Tajikistan</option>
          <option value="Tanzania">Tanzania</option>
          <option value="Thailand">Thailand</option>
          <option value="Timor-Leste">Timor-Leste</option>
          <option value="Togo">Togo</option>
          <option value="Tonga">Tonga</option>
          <option value="Trinidad and Tobago">Trinidad and Tobago</option>
          <option value="Tunisia">Tunisia</option>
          <option value="Turkey">Turkey</option>
          <option value="Turkmenistan">Turkmenistan</option>
          <option value="Tuvalu">Tuvalu</option>
          <option value="Uganda">Uganda</option>
          <option value="Ukraine">Ukraine</option>
          <option value="United Arab Emirates (UAE)">United Arab Emirates (UAE)</option>
          <option value="United Kingdom (UK)">United Kingdom (UK)</option>
          <option value="United States of America (USA)">United States of America (USA)</option>
          <option value="Uruguay">Uruguay</option>
          <option value="Uzbekistan">Uzbekistan</option>
          <option value="Vanuatu">Vanuatu</option>
          <option value="Vatican City (Holy See)">Vatican City (Holy See)</option>
          <option value="Venezuela">Venezuela</option>
          <option value="Vietnam">Vietnam</option>
          <option value="Yemen">Yemen</option>
          <option value="Zambia">Zambia</option>
          <option value="Zimbabwe">Zimbabwe</option>
          <option value="Country">Country</option>
        </select>
      </div>
    </div>
    <div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f0ac911 elementor-col-50 elementor-field-required elementor-mark-required">
      <label for="form-field-field_f0ac911" class="elementor-field-label"> Select Location </label>
      <div class="elementor-field elementor-select-wrapper remove-before ">
        <div class="select-caret-down-wrapper">
          <svg aria-hidden="true" class="e-font-icon-svg e-eicon-caret-down" viewBox="0 0 571.4 571.4" xmlns="http://www.w3.org/2000/svg">
            <path d="M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z"></path>
          </svg>
        </div>
        <select name="form_fields[field_f0ac911]" id="form-field-field_f0ac911" class="elementor-field-textual elementor-size-sm" required="required" aria-required="true">
          <option value="Bonduel, Wisconsin		 ">Bonduel, Wisconsin </option>
          <option value="Ellsworth, Iowa		 ">Ellsworth, Iowa </option>
          <option value="Lincoln, Nebraska		 ">Lincoln, Nebraska </option>
          <option value="Marshfield, Wisconsin		 ">Marshfield, Wisconsin </option>
          <option value="No Preference/New Client">No Preference/New Client</option>
          <option value="Select Location">Select Location</option>
        </select>
      </div>
    </div>
    <div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_67dc532 elementor-col-50 elementor-field-required elementor-mark-required">
      <label for="form-field-field_67dc532" class="elementor-field-label"> Phone </label>
      <input type="number" name="form_fields[field_67dc532]" id="form-field-field_67dc532" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Phone" required="required" aria-required="true" min="" max="">
    </div>
    <div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_email elementor-col-50 elementor-field-required elementor-mark-required">
      <label for="form-field-field_email" class="elementor-field-label"> Email </label>
      <input size="1" type="email" name="form_fields[field_email]" id="form-field-field_email" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Email" required="required" aria-required="true">
    </div>
    <div class="elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_5e0d3ce elementor-col-50">
      <label for="form-field-field_5e0d3ce" class="elementor-field-label"> How Did You Hear About VAS? </label>
      <div class="elementor-field-subgroup  "><span class="elementor-field-option"><input type="radio" value=" Current Client" id="form-field-field_5e0d3ce-0" name="form_fields[field_5e0d3ce]"> <label for="form-field-field_5e0d3ce-0"> Current
            Client</label></span><span class="elementor-field-option"><input type="radio" value=" Radio Ad" id="form-field-field_5e0d3ce-1" name="form_fields[field_5e0d3ce]"> <label for="form-field-field_5e0d3ce-1"> Radio Ad</label></span><span
          class="elementor-field-option"><input type="radio" value=" Newspaper/Magazine" id="form-field-field_5e0d3ce-2" name="form_fields[field_5e0d3ce]"> <label for="form-field-field_5e0d3ce-2"> Newspaper/Magazine</label></span><span
          class="elementor-field-option"><input type="radio" value=" Tradeshow or Event" id="form-field-field_5e0d3ce-3" name="form_fields[field_5e0d3ce]"> <label for="form-field-field_5e0d3ce-3"> Tradeshow or Event</label></span><span
          class="elementor-field-option"><input type="radio" value=" Mailing or Postcard" id="form-field-field_5e0d3ce-4" name="form_fields[field_5e0d3ce]"> <label for="form-field-field_5e0d3ce-4"> Mailing or Postcard</label></span><span
          class="elementor-field-option"><input type="radio" value=" Web Search (Google, etc)" id="form-field-field_5e0d3ce-5" name="form_fields[field_5e0d3ce]"> <label for="form-field-field_5e0d3ce-5"> Web Search (Google, etc)</label></span></div>
    </div>
    <div class="elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_dea79ea elementor-col-50">
      <label for="form-field-field_dea79ea" class="elementor-field-label"> What Supplies Do You Need? (Check All That Apply) </label>
      <div class="elementor-field-subgroup  "><span class="elementor-field-option"><input type="checkbox" value="Soil Testing" id="form-field-field_dea79ea-0" name="form_fields[field_dea79ea][]"> <label for="form-field-field_dea79ea-0">Soil
            Testing</label></span><span class="elementor-field-option"><input type="checkbox" value="Plant Tissue Testing" id="form-field-field_dea79ea-1" name="form_fields[field_dea79ea][]"> <label for="form-field-field_dea79ea-1">Plant Tissue
            Testing</label></span><span class="elementor-field-option"><input type="checkbox" value="Water Testing" id="form-field-field_dea79ea-2" name="form_fields[field_dea79ea][]"> <label for="form-field-field_dea79ea-2">Water
            Testing</label></span><span class="elementor-field-option"><input type="checkbox" value="Manure Testing" id="form-field-field_dea79ea-3" name="form_fields[field_dea79ea][]"> <label for="form-field-field_dea79ea-3">Manure
            Testing</label></span><span class="elementor-field-option"><input type="checkbox" value="Compost &amp; Media Testing" id="form-field-field_dea79ea-4" name="form_fields[field_dea79ea][]"> <label for="form-field-field_dea79ea-4">Compost
            &amp; Media Testing</label></span><span class="elementor-field-option"><input type="checkbox" value="Food &amp; Ingredient Testing" id="form-field-field_dea79ea-5" name="form_fields[field_dea79ea][]"> <label
            for="form-field-field_dea79ea-5">Food &amp; Ingredient Testing</label></span></div>
    </div>
    <div class="elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_383ed0c elementor-col-100">
      <div class="e-field-step elementor-hidden" data-label="Plant Tissue" data-previousbutton="" data-nextbutton="" data-iconurl="" data-iconlibrary="fas fa-star"
        data-icon="<svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http://www.w3.org/2000/svg&quot;><path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;></path></svg>">
      </div>
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_bb4245c elementor-col-50">
      <label for="form-field-field_bb4245c" class="elementor-field-label"> Tissue Sample Bags </label>
      <input size="1" type="text" name="form_fields[field_bb4245c]" id="form-field-field_bb4245c" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Tissue Sample Bags">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fb03aba elementor-col-50">
      <label for="form-field-field_fb03aba" class="elementor-field-label"> Aquaponics: Bacteria </label>
      <input size="1" type="text" name="form_fields[field_fb03aba]" id="form-field-field_fb03aba" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Aquaponics: Bacteria">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e77690e elementor-col-50">
      <label for="form-field-field_e77690e" class="elementor-field-label"> Aquaponics: Complete </label>
      <input size="1" type="text" name="form_fields[field_e77690e]" id="form-field-field_e77690e" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Aquaponics: Complete">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cb5f25a elementor-col-50">
      <label for="form-field-field_cb5f25a" class="elementor-field-label"> Submission Forms </label>
      <input size="1" type="text" name="form_fields[field_cb5f25a]" id="form-field-field_cb5f25a" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Submission Forms">
    </div>
    <div class="elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_a19a79c elementor-col-50">
      <label for="form-field-field_a19a79c" class="elementor-field-label"> Sampling Guide? </label>
      <div class="elementor-field-subgroup  "><span class="elementor-field-option"><input type="checkbox" value="Yes, Please" id="form-field-field_a19a79c-0" name="form_fields[field_a19a79c][]"> <label for="form-field-field_a19a79c-0">Yes,
            Please</label></span><span class="elementor-field-option"><input type="checkbox" value="No, Thank You" id="form-field-field_a19a79c-1" name="form_fields[field_a19a79c][]"> <label for="form-field-field_a19a79c-1">No, Thank
            You</label></span></div>
    </div>
    <div class="elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_c68e6b2 elementor-col-100">
      <div class="e-field-step elementor-hidden" data-label="Shipping Supplies" data-previousbutton="" data-nextbutton="" data-iconurl="" data-iconlibrary="fas fa-star"
        data-icon="<svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http://www.w3.org/2000/svg&quot;><path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;></path></svg>">
      </div>
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_67c2409 elementor-col-50">
      <label for="form-field-field_67c2409" class="elementor-field-label"> Preprinted Mailing Return Labels </label>
      <input size="1" type="text" name="form_fields[field_67c2409]" id="form-field-field_67c2409" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Preprinted Mailing Return Labels">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5ad12c7 elementor-col-50">
      <label for="form-field-field_5ad12c7" class="elementor-field-label"> Submission Forms </label>
      <input size="1" type="text" name="form_fields[field_5ad12c7]" id="form-field-field_5ad12c7" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Submission Forms">
    </div>
    <div class="elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ed6c1b8 elementor-col-50">
      <label for="form-field-field_ed6c1b8" class="elementor-field-label"> Please have an AgSource Rep contact me: </label>
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for sustainable, profit-driven decision-making. connecting dairy farmers and
agriculturists to their data



LEARN MORE Your farm data. Secure.
Anytime, anywhere from any device. VAS PULSE PLATFORM LEARN MORE FEEDWATCH Feed
insights delivered.
LEARN MORE PARLORBOSS Streamline operations
around your rotary parlor. LEARN MORE DAIRYCOMP Manage your herd with
industry leading insights. LEARN MORE MyDC on PULSE The new generation of herd
management  LEARN MORE WeighComp Delivery and inventory tracking made easy



VAS IS THE INDUSTRY-STANDARD IN
CONNECTED FARM MANAGEMENT SYSTEMS
FOR DATA DRIVEN DAIRIES


YOUR FARM'S DATA HAS A STORY TO TELL
VAS PULSE PLATFORM CAN TELL IT

Learn More

Cloud-based Anytime, anywhere, any device.


COMPREHENSIVE, END-TO-END PRODUCTS


THAT SPAN YOUR DAIRY


DAIRYCOMP

MAXIMIZING HERD PERFORMANCE STARTS WITH
DAIRYCOMP.

• Data-driven – explore herd data on micro and macro levels


• Customizable – create reports that make sense to you


• Scalable – small herd or large, there’s a DairyComp for you

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FEED

VAS FEED ENSURES YOUR MOST EXPENSIVE
INPUT ISN’T A MYSTERY.

• TRACEABLE – GAIN VISIBILITY INTO INVENTORY, SHRINK AND LOSS

• ACCOUNTABLE – UNITE YOUR ENTIRE TEAM TO WORK TOWARDS COMMON GOALS

• ACCURATE – OPTIMIZE PEN FEEDING WITH ALWAYS ACCURATE COUNTS FROM DAIRYCOMP

VIEW FEEDWATCH


INTEGRATED WITH OVER 50 WORLD-RENOWNED INDUSTRY PARTNERS

VIEW INTEGRATIONS


SEE WHY TOP CLIENTS


CHOOSE VAS

At VAS, we connect farmers to their data through herd and feed management
software solutions. We empower them to make the best management decisions with
reliable, accurate data at their fingertips.



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YOUR DATA


DELIVERED

 * Wherever you want it.
 * Whenever you need it.
 * Whoever needs it.



GOLD STANDARD IN HERD MANAGEMENT SOFTWARE FOR 40 YEARS

PRODUCERS IN 52 COUNTRIES AROUND THE WORLD TRUST VAS

15 MILLION ANIMALS MANAGED WORLDWIDE BY VAS’ PRODUCTS

FROM LARGE MULTI-SITE OPERATIONS TO SMALL
VAS HAS THE PLATFORM FOR YOU.

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Postcard Web Search (Google, etc)
What Supplies Do You Need? (Check All That Apply)
Soil Testing Plant Tissue Testing Water Testing Manure Testing Compost & Media
Testing Food & Ingredient Testing

Tissue Sample Bags
Aquaponics: Bacteria
Aquaponics: Complete
Submission Forms
Sampling Guide?
Yes, Please No, Thank You

Preprinted Mailing Return Labels
Submission Forms
Please have an AgSource Rep contact me:
Yes, Please No, Thank You
Any Comments/Questions?
SUbmit


CLIENT INTAKE

First Name
Last Name
Company
I'm

I'm Owner I'm Manager I'm Consultant I'm Veterinarian I'm Nutritionist I'm AI
specialist Other
Type of Farm

Dairy farm Heifer grower Other
Preferred communication
Email Phone
Email
Phone
Comment(s)
SUbmit


CONTACT US

First Name
Last Name
Email
Subject
Comment or Message
SUbmit
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