DNA
  Bio Services

The Testing Kit is sent out FREE - However payment is required BEFORE the tests are sent to the Laboratory. Please tick the appropriate box(es) below for the Test(s) you require and CALCULATE the cost and then email the completed form. .
  Thank you

DNA Test(s) Required:	tick a box
Peace of Mind Paternity Test
Father and Child 1	AU$   495.00 (incl GST)
+ Additional Child 2	AU$   165.00 (incl GST)
+ Additional Child 3	AU$   165.00 (incl GST)
Court Related Paternity Test	AU$   750.00 (incl GST)
Please NOTE: Collection kits are sent directly to a recommended practitioner or GP in your local area.
Siblingship Test	AU$   990.00 (incl GST)
1st Cousin Test	AU$   999.00 (incl GST)
Grand Parentage Test	AU$ 1300.00 (incl GST)
Twin Zygosity Test	AU$   495.00 (incl GST)
Forensic Test	AU$   450.00 (incl GST)
DNA Preservation	AU$   699.00 (incl GST)
DNA - ID Card	AU$   333.00 (incl GST)
TOTAL Price AU$
NETSCAPE USERS NOTE: Please insert the TOTAL Price AU$ . . . manually this JavaScript form calculator will often NOT work in Netscape - sorry

Please enter your detail here:

the Field Names marked in RED: are REQUIRED a copy of the data in this form will also be forwarded to you for your records
Title:	Mrs. Ms. Miss Mr. Dr.
Name:
Postal Address:
Town/City:
State:
Postcode:
Phone:	ie: +61.8 9581 7575
Fax:	ie: +61.8 9581 7979
Mobile:
Email:	NOTE: Please supply a valid e-mail address - it is required ! a copy of this form will be sent to this address for your records
other Comments or Enquiry/Questions:

Payment can be made by filling in thefollowing (including your Credit Card details) here
- or you may choose to send payment with your return envelope

PAYMENT OPTIONS:	Please select an option   CREDIT CARDCHEQUE via POSTDIRECT DEPOSIT
for Cheque & Direct Deposit options see instructions below .. for Credit Card payment option proceed here:
Credit Card Type :	select Card Type here VISAMASTERCARD
Credit Card Number :
Expiry Date :	Month : 010203040506070809101112   Year : 200720082009201020112012201320142015
Name on Card :
Security Number :	last 3 numbers back of card

you may now choose to . . . .
or   &  

If paying by Cheque, please print this page and send it with your cheque for the appropriate amount to DNA BioServices Pty Ltd PO BOX 419, Subiaco WA 6904 or If you are paying by Direct Deposit, our account details are: DNA BioServices Westpac Bank Mandurah BSB—036 157 A/c No. — 308 091 Please complete the form & click on [EMAIL this FORM] above + e-mail details of your Direct Deposit payment to contact details: phone: 1300 768 428 - fax: +61.8 6267 8085