DNA Paternity Testing

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DNA Testing Options

Welcome to the SECURE ONLINE ORDERING FORM

Private Account Information Sheet
The following information is necessary to coordinate your case. Please complete all data.
Which test are you interested in? Bronze Test ($274) Promo Price Silver Test($349) Promo Price Gold Test($449) Promo Price Platinum Test($549) Promo Price
Account Name:
Address:		County:
City:		State:		Zip Code:
Telephone:		E-mail:
Contact Person 1:		Telephone:
Contact Person 2:		Telephone:
(ONLY PROVIDE THE NAMES OF THE PARTIES BEING TESTED)

Mother's Full Name:
Is Mother being Tested?	YES NO
Alleged Father's Full Name:
Alleged Father's Date of Birth:
Child's Full Name:
Child's Date of Birth:
(Seperate with comma if more than one child. Eg. John Doe, Jane Doe, etc.)

BILLING INFORMATION- Both Credit Cards and Debit Cards Accepted.
Attorney's Trust Account Check	Money Order	Cashier's Check
Discover Card	Master Card	Visa
American Express

Credit Card Account Number:

Month: 01 02 03 04 05 06 07 08 09 10 11 12

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WE DO NOT ACCEPT PERSONAL CHECKS OR CREDIT CARD CHECKS

 

Certified results with a money back guarantee.

1100+ Labs available in almost every major city.

AABB, CLIA, NYSDH

Results in 2-3 business days.

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Email us today: dna1@paternitytesters.com
Call us today: 1-866-ARE-U-DAD (273-8323)