DNA Twins Test Order Form

Test*
Twin Zygosity Test $169 Semi-Identical Twin Test $299
Testing Mother?
Yes No
Result Speed
8-10 Business days - no extra charge Within 4 working days - $79 Within 2 working days - $139 Within 24 hours - $279
Report Options
None Region Report $39 Allele Report $49 DNA Profiles $49
Art Print
None A4 Size Art Print - $69 A3 Size Art Print - $89
TOTAL ($)


Shipping Info
Title*
Name and Surname*
Company/Business Name (if applicable)
Street Address*
City/Town*
State / Postcode*	State* Postcode*
Country**
Telephone
Email address*
How did you hear about us?	Other-specify below:

Payment Info
Credit Card Info
Card no.*
Name on card*
Card Expires*
Card Security No.*	What's this?
Comments

Note: your DNA test kit will be shipped immediately.

DNA SOLUTIONS 4 Eastgate Court, WANTIRNA, VIC, 3152 AUSTRALIA TEL: 0800 362 8378 dna-ausnz@dnasolutions.com