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To receive a free paternity testing kit*,
print, complete, and fax this form to
818-772-8688,
and we mail you a collection kit with all the
items necessary for your collection.
You will received your free kit in 2-3
business days (US and Canada only). International orders
may take longer.
Be sure to indicate
what type of free paternity testing kit would like.
Name:
___________________________________________________________________________
Address 1 (required):
_______________________________________________________________
Address 2:
_______________________________________________________________________
City (required):
____________________________________________________________________
State/Providence
(required):
__________________________________________________________
Zip/Postal Code
(required):
__________________________________________________________
Country (required):
_________________________________________________________________
Email:
___________________________________________________________________________
Type of Free Paternity
Kit (Sample Type) (required - check one):
Swab Samples
(Check cells)
Hair Samples
Number of Alleged Fathers
to be Tested (required): __________
Number of Children to be
Tested (required): __________
Questions, comments,
etc.:
_________________________________________________________
_________________________________________________________________________________
All
correspondence is strictly confidential and is protected
under our privacy policy.
*testing
fees not included
Copyright ©
1996-2005 DNA PLUS. All Rights Reserved.
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