vas.com
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141.193.213.20
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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
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 DOMGET 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>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City State</option>
<option value="VE">Venezuela (Bolivarian Republic of)</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
<option value="AX">Åland Islands</option>
</select><label for="wpforms-21459-field_21-country" class="wpforms-field-sublabel after wpforms-sublabel-hide">Country</label></div>
</div>
</div>
<div id="wpforms-21459-field_15-container" class="wpforms-field wpforms-field-textarea" data-field-id="15"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21459-field_15">Comments</label><textarea id="wpforms-21459-field_15"
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<div id="wpforms-21459-field_28-container" class="wpforms-field wpforms-field-pagebreak" data-field-id="28">
<div class="wpforms-clear wpforms-pagebreak-left"><button class="wpforms-page-button wpforms-page-next" data-action="next" data-page="2" 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>
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</div>
</div>
</div>
<div class="wpforms-page wpforms-page-3 last " data-page="3" style="display:none;">
<div id="wpforms-21459-field_12-container" class="wpforms-field wpforms-field-hidden" data-field-id="12"><input type="hidden" id="wpforms-21459-field_12" name="wpforms[fields][12]" value="Website – MyDC Survey Form"></div>
<div id="wpforms-21459-field_24-container" class="wpforms-field wpforms-field-pagebreak" data-field-id="24">
<div class="wpforms-clear wpforms-pagebreak-left"></div>
</div>
</div>
</div><!-- .wpforms-field-container -->
<div class="wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3" style="display:none;"><input type="hidden" name="wpforms[recaptcha]" value=""></div>
<div class="wpforms-submit-container" style="display:none;"><input type="hidden" name="wpforms[id]" value="21459"><input type="hidden" name="page_title" value="Home"><input type="hidden" name="page_url" value="https://vas.com/"><input type="hidden"
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<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>
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POST /
<form id="wpforms-form-21484" class="wpforms-validate wpforms-form" data-formid="21484" method="post" enctype="multipart/form-data" action="/" data-token="c506f8e079cf84c2cb2df1e33f63fb16" 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-21484-field_3-container" class="wpforms-field wpforms-field-name" data-field-id="3"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21484-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-21484-field_3" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][3][first]" placeholder="First Name"
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<div id="wpforms-21484-field_5-container" class="wpforms-field wpforms-field-number" data-field-id="5"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21484-field_5">Phone <span
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<div id="wpforms-21484-field_4-container" class="wpforms-field wpforms-field-email" data-field-id="4"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21484-field_4">Email <span
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<div id="wpforms-21484-field_2-container" class="wpforms-field wpforms-field-text" data-field-id="2"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21484-field_2">Company <span
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<div class="wpforms-field-row wpforms-field-large">
<div><input type="text" id="wpforms-21484-field_13" class="wpforms-field-address-address1 wpforms-field-required" name="wpforms[fields][13][address1]" placeholder="Address" required=""><label for="wpforms-21484-field_13"
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<div class="wpforms-field-row wpforms-field-large">
<div class="wpforms-field-row-block wpforms-one-half wpforms-first"><input type="text" id="wpforms-21484-field_13-city" class="wpforms-field-address-city wpforms-field-required" name="wpforms[fields][13][city]" placeholder="City"
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<div class="wpforms-field-row wpforms-field-large">
<div class="wpforms-field-row-block wpforms-one-half"><select id="wpforms-21484-field_13-country" class="wpforms-field-address-country wpforms-field-required" name="wpforms[fields][13][country]" value="US" required="">
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<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
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<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>
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<option value="SV">El Salvador</option>
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<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>
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<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
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<option value="IQ">Iraq</option>
<option value="IE">Ireland (Republic of)</option>
<option value="IM">Isle of Man</option>
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<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>
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<option value="MW">Malawi</option>
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<option value="MV">Maldives</option>
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<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>
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<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>
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<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>
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<option value="SI">Slovenia</option>
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<option value="TJ">Tajikistan</option>
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<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>
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<option value="TM">Turkmenistan</option>
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<option value="TV">Tuvalu</option>
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<option value="ZW">Zimbabwe</option>
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</select><label for="wpforms-21484-field_13-country" class="wpforms-field-sublabel after wpforms-sublabel-hide">Country</label></div>
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</div>
<div id="wpforms-21484-field_15-container" class="wpforms-field wpforms-field-textarea" data-field-id="15"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-21484-field_15">Comments</label><textarea id="wpforms-21484-field_15"
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</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>
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value="wpforms-submit">Submit</button></div>
</form>
Name: New Form — POST
<form class="elementor-form" method="post" name="New Form">
<input type="hidden" name="post_id" value="19420">
<input type="hidden" name="form_id" value="2ae1415d">
<input type="hidden" name="referer_title" value="Dairy Herd Management Software | VAS">
<input type="hidden" name="queried_id" value="9">
<div class="elementor-form-fields-wrapper elementor-labels-above">
<div class="elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_186ca9f elementor-col-100">
<div class="e-field-step elementor-hidden" data-label="Required Information" data-previousbutton="" data-nextbutton="" data-iconurl="" data-iconlibrary="icon icon-Profile" data-icon="<i class="icon icon-Profile"></i>"></div>
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group- elementor-col-50 elementor-field-required elementor-mark-required">
<label for="form-field-" class="elementor-field-label"> First Name </label>
<input size="1" type="text" name="form_fields[]" id="form-field-" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="First name" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_556a0d1 elementor-col-50">
<label for="form-field-field_556a0d1" class="elementor-field-label"> Last Name </label>
<input size="1" type="text" name="form_fields[field_556a0d1]" id="form-field-field_556a0d1" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Last name">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0bdcc8c elementor-col-50">
<label for="form-field-field_0bdcc8c" class="elementor-field-label"> Company Information </label>
<input size="1" type="text" name="form_fields[field_0bdcc8c]" id="form-field-field_0bdcc8c" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Company Information">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5949013 elementor-col-50">
<label for="form-field-field_5949013" class="elementor-field-label"> Account Number </label>
<input size="1" type="text" name="form_fields[field_5949013]" id="form-field-field_5949013" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Account Number">
</div>
<div class="elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_992a596 elementor-col-100 elementor-field-required elementor-mark-required">
<label for="form-field-field_992a596" class="elementor-field-label"> Address </label>
<textarea class="elementor-field-textual elementor-field elementor-size-sm" name="form_fields[field_992a596]" id="form-field-field_992a596" rows="4" placeholder="Address" required="required" aria-required="true"></textarea>
</div>
<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">
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</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 & Media Testing" id="form-field-field_dea79ea-4" name="form_fields[field_dea79ea][]"> <label for="form-field-field_dea79ea-4">Compost
& Media Testing</label></span><span class="elementor-field-option"><input type="checkbox" value="Food & Ingredient Testing" id="form-field-field_dea79ea-5" name="form_fields[field_dea79ea][]"> <label
for="form-field-field_dea79ea-5">Food & 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="e-font-icon-svg e-fas-star" viewBox="0 0 576 512" xmlns="http://www.w3.org/2000/svg"><path d="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"></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="e-font-icon-svg e-fas-star" viewBox="0 0 576 512" xmlns="http://www.w3.org/2000/svg"><path d="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"></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>
<div class="elementor-field-subgroup "><span class="elementor-field-option"><input type="checkbox" value="Yes, Please" id="form-field-field_ed6c1b8-0" name="form_fields[field_ed6c1b8][]"> <label for="form-field-field_ed6c1b8-0">Yes,
Please</label></span><span class="elementor-field-option"><input type="checkbox" value="No, Thank You" id="form-field-field_ed6c1b8-1" name="form_fields[field_ed6c1b8][]"> <label for="form-field-field_ed6c1b8-1">No, Thank
You</label></span></div>
</div>
<div class="elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_325d117 elementor-col-100">
<label for="form-field-field_325d117" class="elementor-field-label"> Any Comments/Questions? </label>
<textarea class="elementor-field-textual elementor-field elementor-size-sm" name="form_fields[field_325d117]" id="form-field-field_325d117" rows="4" placeholder="Any Comments/Questions?"></textarea>
</div>
<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
<button type="submit" class="elementor-button elementor-size-sm">
<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">SUbmit</span>
</span>
</button>
</div>
</div>
</form>
Name: New Form — POST
<form class="elementor-form" method="post" name="New Form">
<input type="hidden" name="post_id" value="18474">
<input type="hidden" name="form_id" value="5a7e1f9d">
<input type="hidden" name="referer_title" value="Dairy Herd Management Software | VAS">
<input type="hidden" name="queried_id" value="9">
<div class="elementor-form-fields-wrapper elementor-labels-">
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group- elementor-col-50">
<label for="form-field-" class="elementor-field-label elementor-screen-only"> First Name </label>
<input size="1" type="text" name="form_fields[]" id="form-field-" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="First name">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_556a0d1 elementor-col-50">
<label for="form-field-field_556a0d1" class="elementor-field-label elementor-screen-only"> Last Name </label>
<input size="1" type="text" name="form_fields[field_556a0d1]" id="form-field-field_556a0d1" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Last name">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_eb6f26a elementor-col-50">
<label for="form-field-field_eb6f26a" class="elementor-field-label elementor-screen-only"> Company </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="Company">
</div>
<div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_8c30998 elementor-col-50">
<label for="form-field-field_8c30998" class="elementor-field-label elementor-screen-only"> I'm </label>
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<option value="I'm Owner">I'm Owner</option>
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<option value="I'm Consultant">I'm Consultant</option>
<option value="I'm Veterinarian">I'm Veterinarian</option>
<option value="I'm Nutritionist">I'm Nutritionist</option>
<option value="I'm AI specialist">I'm AI specialist</option>
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<label for="form-field-field_f0ac911" class="elementor-field-label elementor-screen-only"> Type of Farm </label>
<div class="elementor-field elementor-select-wrapper remove-before ">
<div class="select-caret-down-wrapper">
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<option value="Dairy farm">Dairy farm</option>
<option value="Heifer grower">Heifer grower</option>
<option value="Other ">Other </option>
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<label for="form-field-" class="elementor-field-label elementor-screen-only"> Comment(s) </label>
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<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">SUbmit</span>
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Name: New Form — POST
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<input type="hidden" name="form_id" value="3cae57e6">
<input type="hidden" name="referer_title" value="Dairy Herd Management Software | VAS">
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<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group- elementor-col-100">
<label for="form-field-" class="elementor-field-label elementor-screen-only"> First Name </label>
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<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_556a0d1 elementor-col-100">
<label for="form-field-field_556a0d1" class="elementor-field-label elementor-screen-only"> Last Name </label>
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<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group- elementor-col-100 elementor-field-required">
<label for="form-field-" class="elementor-field-label elementor-screen-only"> Email </label>
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<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group- elementor-col-100">
<label for="form-field-" class="elementor-field-label elementor-screen-only"> Subject </label>
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<button type="submit" class="elementor-button elementor-size-sm">
<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">SUbmit</span>
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Text Content
* News * Education * Global 🌐 * News * Education * Global 🌐 * Dairy VAS PULSE PLATFORM EXPLORE THE POSSIBILITIES FOR YOUR OPERATION. FIND OUT HOW VAS CAN HELP. LEARN MORE PRODUCTS * DairyComp * MyDC on PULSE * ParlorBoss TECHNOLOGY * VAS PULSE Platform * Mobile Herd Solutions * DairyComp Modules * Integrations HARDWARE * Recommended Hardware * Order Hardware RESOURCES Consultants Educators Technology Specifications Data Release Agreement * Feed VAS PULSE PLATFORM EXPLORE THE POSSIBILITIES FOR YOUR OPERATION. FIND OUT HOW VAS CAN HELP. LEARN MORE PRODUCTS * FeedWatch * WeighComp TECHNOLOGY * VAS PULSE Platform * Integrations HARDWARE * Recommended Hardware * Order Hardware RESOURCES Consultants Technology Specifications Data Release Agreement * Company VAS PULSE PLATFORM EXPLORE THE POSSIBILITIES FOR YOUR OPERATION. FIND OUT HOW VAS CAN HELP. REQUEST A DEMO ABOUT * News * Career * About Us * Contact EDUCATION * Training Courses * Webinars * Product Tips SUPPORT * Curtis * Update DairyComp * Update Pocket CowCard * Contact Support RESOURCES Consultants Technology Specifications Data Release Agreement Recommended Hardware * News * Contact * Login * VAS PULSE Platform 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 VIEW DAIRYCOMP 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. Learn more 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. CONTACT US Envelope Facebook Instagram Linkedin HERD * VAS PULSE Platform * DairyComp * MyDC on PULSE * ParlorBoss FEED * FeedWatch * WeighComp COMPANY * News * Career * Education * Contact Us Search Search * Terms of Use * Privacy Policy and Cookies * EUSA * EULA * Terms of Use * Privacy Policy and Cookies * EUSA * EULA © VAS 2024. A COMPANY OF URUS. We are using cookies to give you the best experience on our website. You can find out more about which cookies we are using or switch them off in settings. Accept CONTACT US Please enable JavaScript in your browser to complete this form. Name * First Last Layout Dairy/Company * Phone * Country * Email * State/Province * Comments Submit THANK YOU FOR YOUR INTEREST IN MYDC ON PULSE! COMPLETE THE FORM TO SPEAK WITH A MEMBER OF OUR TEAM. Please enable JavaScript in your browser to complete this form. - Step 1 of 3 Name * First Last Phone * Email * Next Dairy Name * Address * Address Line 1 City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry Comments Next Submit THANK YOU FOR YOUR INTEREST IN DAIRYCOMP UNLIMITED! PLEASE COMPLETE THE FORM BELOW AND A MEMBER OF OUR TEAM WILL GET IN TOUCH. Please enable JavaScript in your browser to complete this form. Name * First Last Phone * Email * Company * Address * Address Line 1 City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry Comments Submit SUBMIT THE FORM BELOW TO RECEIVE YOUR FREE SAMPLING SUPPLIES. First Name Last Name Company Information Account Number Address City State/Province Zip/Postal Country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic (CAR) Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (formerly Swaziland) Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (formerly Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia (formerly Macedonia) Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates (UAE) United Kingdom (UK) United States of America (USA) Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe Country Select Location Bonduel, Wisconsin Ellsworth, Iowa Lincoln, Nebraska Marshfield, Wisconsin No Preference/New Client Select Location Phone Email How Did You Hear About VAS? Current Client Radio Ad Newspaper/Magazine Tradeshow or Event Mailing or 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 Close GDPR Cookie Settings * Privacy Overview * Strictly Necessary Cookies Powered by GDPR Cookie Compliance Privacy Overview This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Strictly Necessary Cookies Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings. 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