*** THESE DISCOUNTS DO NOT APPLY TO OFFSPRING OF CARRIER MATINGS ***
Client must send ALL of the following directly to OptiGen for reduced price testing:

1. Completed copy of this form
2. Optigen test reports for dam & sire documenting their test status (one normal, one affected)*
3. Provide copy of official document (e.g., registration) showing dam and sire as parents of this offspring
4. Completed, hand-written, and signed test request form
5. Blood sample or cheek swab (if the test allows use of swab)

*It is the Client's responsibility to obtain copies of the parents' test reports from the owner(s) of the parents.  OptiGen cannot release test reports without written permission of the dog's owner.