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DNA PLUS
CheckMate - FAX Form


To order your CheckMate infidelity kit, print, complete, and fax this form to 818-772-8688. You will received confirmation of your order via email.

Email (required): ___________________________________________________________________
Email addresses are used to confirm the order and are not shared with any third party.

Order Information

Number of CheckMate infidelity kits ordered: __________

Shipping Options (check one):

Standard - $7.95 per kit (2 day USPS Priority) US ONLY
Overnight - $17.95 per kit (USPS Express Mail) US ONLY
International - $11.95 per kit (USPS Global Priority)
International - $49.95 per kit (FedEx, DHL, UPS Overnight)

Bill to My FedEX Account:______________________________ ($4 handling fee will apply)


Shipping Address

Name: ___________________________________________________________________________

Address 1 (required): _______________________________________________________________

Address 2: _______________________________________________________________________

City (required): ____________________________________________________________________

State/Providence (required): __________________________________________________________

Zip/Postal Code (required): __________________________________________________________

Country (required): _________________________________________________________________


Billing Information

Payment Method (check one):

Money Order (Please retain a copy for your records)

Personal Check (Please allow 10 business days to process check)

Approximate date you will mail your money order or personal check: ___________
This helps us process your order.

Please make money order or personal checks payable to DTT CO and mail to:

DTT CO
21704 Devonshire Street, Suite 303
Chatsworth, CA 91311

IMPORTANT - Please write your email address on your money order or personal check.

 

Credit Card (Visa or MasterCard billed discretely as DTT CO)

EXACT Name on Credit Card:_________________________________________________________

Credit Card Number:_______________________________________ Expiration date: ___________

EXACT Address on Credit Card Statement:

Check here is same as shipping address

Address 1 (required): _______________________________________________________________

Address 2: _______________________________________________________________________

City (required): ____________________________________________________________________

State/Providence (required): __________________________________________________________

Zip/Postal Code (required): __________________________________________________________

Country (required): _________________________________________________________________

All correspondence is strictly confidential and is protected under our privacy policy.

 

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