AVIAN DNA SEXING ORDER FORM Customer Information (each submission form for one customer only) Name: Surname: Name on Certificates: (if different to above) Street Address: Suburb: State: Postcode: Email: Mob/Ph: Results Reception The results will be sent in 3 to 5 business days (from sample reception at the office). The express results will be sent in 1 to 2 business days (from sample reception at the office). All results will be accompanied by results certificate. Please select ONE option only: Email Normal Post (will be mailed to the address provided above) Price Order blood kits Blood or Feather samples for DNA Sexing Please tick the number required (1 kit for 1 bird) 1-9 birds …….………………………..……. $ 17.90 each 10+ birds ……………………………………. $ 14.90 each Express sexing results within 48 hours: add $ 9.90 per bird For eggshell samples add $2 per bird 10 Kits ………………………………………… $ 5.00 15 Kits ………………………………………… $ 7.50 20 Kits …………………………………….… $ 10.00 25 Kits ………………………………….…… $ 12.50 30 Kits …………………………………….… $ 15.00 Beak and Feather disease testing - $30 per bird Beak and Feather + DNA Sexing - $44.90 per bird Payment Options (Our preferred payment method is by Bank Deposit) Please tick a payment method below. Note that samples are processed after the payment is confirmed. Bank Deposit: Please attach receipt for the deposit Bank: Westpac BSB: 033-372 Account: DNA Solutions Pty. Ltd. Account Number: 237-077 Credit Card: Visa MasterCard Credit Card Number: Name on the Card: __________________ Exp: / Signed: ____________________________________________________ Cheque and Money Order * * Please note there is a $5.00 fee for Cheque & Money Order payments. How to take samples Feather: 1. 2. 3. 4. 5. Blood: A special ki t is not requi red for fea ther samples. Any envelope or plasti c ba g will suffice. Envelopes a re preferred as they a re porous and allow the sample to brea the and dry out. This reduces the chances of the samples going mouldy duri ng posta ge. Label a small envelope or plasti c bag wi th the bi rd’s species and identifi ca tion. Copy tha t informa tion onto the form below. Pluck (do not cut) 2 - 3 tail or wi ng feathers (NOT breast fea thers ). Fea thers should be approxima tel y 4 - 10cm long. If the fea ther has bl ood on i t, take this single fea ther and allow i t to dry before putting into an envelope or plas tic ba g. Pla ce i n the labeled envel ope or plasti c bag and send them wi th a completed order form to the address below. 1. Use a blood sampling ki t. 2. Label one end of the blood ca rd wi th the bi rd’s species and identifi ca tion, and copy i t onto the form below. 3. Res train the bi rd wi th a fi rm but gentle hold. The medial meta ta rsal vein (leg) can be pri cked by a pin or needle and allow a drop of blood to form, before touchi ng the drop to the labeled blood ca rd. Onl y one drop is requi red. 4. Clean thoroughl y or repla ce the pin between bi rds. Ensure the bleeding has s topped before returning the bi rd to i ts ca ge. 5. Allow the blood to dry for a t least 10 minutes before placing it into the plasti c bag. 6. Send the samples wi th a completed order form to the a ddress below. Samples Information: tick the appropriate DNA Service Type (Species) of bird Identification or name DNA Sexing Test Express DNA Sexing DNA Disease:* Office use only Beak & Fea ther 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 * For beak and feather disease testing we strongly recommend to provide both blood and feather samples. Mail or deliver samples to DNA SOLUTIONS 4 Eastgate Court Wantirna VIC 3152 For any enquiries, please contact us: 03 9800 1550 1800 000 362
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