REQUEST FORM FOR EQUINE DNA TESTING

(Can be used to submit multiple samples)

* * NOTE: You can fill in this form online to print and mail with your samples * *

Owner: STANDARD Turnaround time: 7-10 business days
Address:

COST = $40 for each test requested per horse

 

 EXPRESS service: 5 calendar days (extra 50% fee)
Phone: Preliminary Report by: Phone FAX Email
FAX: (Written report to be mailed within 4 weeks of results)
Email:
# of Additional Sampling Kits Needed:  

Submitted Samples
  Breed/Sex
 (G=Gelding; S=Stallion/Colt; M=Mare/Filly)		 ID (Registry #, Name) Test(s) Requested
 (E=Black/Red Factor; A=Agouti;
NEW! At=Seal Brown;
C=Cream; Z=Silver;
O=Lethal White Overo;
T=Tobiano; SB=Sabino-1;
HY=HYPP; HRD=HERDA)		 For Lab Use
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Please list any additional comments or specific questions for interpretation of the genetic testing results:
(such as homozygosity, color prediction in foals, etc.)

PAYMENT INCLUDED: $     Check       Money Order       Paypal Sent
Visa         MasterCard         Card #:       Expiration: /

Pet DNA Services of AZ, PO Box 7809, Chandler, AZ 85246   Phone: 602-380-8552   Email: genes@petdnaservicesaz.com