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

Year: 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050

WE DO NOT ACCEPT PERSONAL CHECKS OR CREDIT CARD CHECKS

 

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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)
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