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Court Admissible DNA Grandparentage Testing Order Form
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Shipping Information for DNA Test Kit
First Name
Last Name
Middle Name
Address
City
State / Province
Zip / Postal Code
Country
Phone
E-mail
Note: E-mail and Phone are required if you would like the test kit to be shipped by Express delivery.
Select a Test Type
1 Grandparent, 1 Child
(Results in 3 to 5 working days)
$255 US
1 Grandfather, 1 Grandmother, 1 Child
(Results in 3 to 5 working days)
$350 US
1 Grandparent, 1 Child
(Results in 2 to 3 working days)
$330 US
EXPRESS SERVICE
1 Grandfather, 1 Grandmother, 1 Child
(Results in 2 to 3 working days)
$500 US
EXPRESS SERVICE
Plus Shipping and Handling Fee (choose one)
Regular Delivery
(Receive your kit in approximately 5 working days)
$0 US
Express Delivery
(Receive your kit within 48 hours - Canada & US only)
$20 US
Shipping Information for Genex Result Report (check all that apply)
By E-mail
Use the same E-mail address above
E-mail
By Mail
Use the same shipping address above
Address
City
State / Province
Zip / Postal Code
Country
Payment Information
Credit Card Type
Visa
MasterCard
Card Number
-
-
-
Expiry Date
(mm) /
(yy)
CVC Number
Cardholder Name
Note: Please select the method of payment. Credit cards only for online orders. To pay by international money order, call 1-888-262-2263 or download the printable test request form to order by mail.
Create a Passowrd
Password
Re-type Password
Note: To gain access to your test results by phone, you will be asked to provide a password you created here. Minimum 4 characters.
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