ABGA™ 1207 S. Bryant Blvd., Suite C, San Angelo, TX 76903| (325) 486-2242| Fax 325-486-2637 |www.ABGA.org
marketing | education | genetics | commercial | youth | service
DNA SAMPLE KIT REQUEST FORM
DNA Sample must be received by UC Davis within 60 days of issue of Sample Test Kit, or the Kit will be cancelled.
The price for DNA testing is $33.00/test request for members, and $38.00/test request for nonmembers. You can also use the Online DNA
Test Request Center, if you prefer. All required items must be filled out completely. Payment must be included with submission form in order
to receive a Sample Kit. If you have an email address, the Sample Kit will be EMAILED to you. If you do not, the Sample Kits will be mailed
USPS. The Sample kit will include instructions on how to pull the hair for the test and send it to UC Davis.
If requesting parent verification, the parent information must be filled out completely. There is no additional charge for parent identification
if they have already been DNA tested. If they haven’t, the only way parent verification can be done is to fill out separate DNA test requests
for each parent. If this is all done at the same time, there will be no extra charge other than the price of the test on each goat being tested.
OWNER
ABGA Member: Yes:
No:
ABGA MEMBER NUMBER:
Date:
/
/
required for member pricing
First Name:
Last Name:
Address:
Address2:
City:
State:
Daytime Phone:
Zip Code:
Email:
ANIMAL BEING TESTED
Animal Name:
Registration, Record of
Pedigree, or Listing No:
Color Description:
Date of Birth:
Fullblood/Purebred:
Percentage:
Tattoo Left:
Tattoo Right:
/
/
Sex:
Crossbred:
External ID:
not required if tattooed
S Verify Sire
D Verify Dam
P Verify Both
PARENT INFORMATION
[For parent verification, complete the parent information and check the type of verification in the box above]
SIRE Name:
DAM Name:
SIRE Registration:
DAM Registration:
SIRE VGL Case #:
DAM VGL Case #:
PAYMENT METHOD
Check:
Check No:
DNA TEST PRICE:
$33.00 member
Visa:
Master Card:
Discover:
American Express:
Name on Card:
$38.00 nonmember
Expiration Date:
MAIL ENTIRE FORM WITH PAYMENT INFO OR
CHECK TO ADDRESS AT TOP OF FORM.
Billing Address:
Zip Code:
/
/
Security Code: