SAMPLE FORM - AUSTRALIA
TO TAKE THIS TEST NOW FOLLOW THESE STEPS:
1. Please print this page out.  Otherwise contact us and we'll send this page to you.
2. Please record identification or name details for each sample collected, and to be tested. 
For example (Ring #13 Black, Tweety, Red Parrot, cage 10, etc.)
3. Pull 2 feathers from each bird to be tested.
4. Results will take 6 to 12 days.
5. This form available in high resolution format (with instructions), by clicking here.
Please send samples to:
By Airmail DNA SOLUTIONS
4 Eastgate Court
Wantirna VIC 3152		  
Tel: 1800-000-362
Email dna@dnasolutions.com.au

 
Please complete following contact details:
Name: Phone:
Address:
 


Email: Fax:
 
Bird ID:
Species:
Official Use
1   . .
2   . .
3   . .
4   . .
5   . .
6   . .
7   . .
8   . .
9   . .
10   . .
11   . .
12   . .
13   . .
14   . .
15   . .
I am paying (tick box)
A$28 each (for sending us 1, 2 or 3 bird samples)
A$25 each (for sending us 4 or more bird samples)

Please select one or more of the following methods to receive your results:
email By regular mail
By fax By telephone
Please select method of payment:
Mastercard Visa Card  Bankcard
Cheque*  Money Order* Bank Transfer 
*If paying by cheque or money order, please make payable to "DNA SOLUTIONS"
Credit Card details
Card number: 
Cardholder's full name:
Expiry date: 
 
 

- click here for main menu -