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Discount Application for Offspring of Normal to Normal Matings

NOTE: No further discounts are applied to this offer 

*** 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 Normal status*
  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.

NOTES: This discount is not available in combination with any other discount. If result is anything other than Normal, client will be responsible for the difference in test pricing.  Normal to Normal matings can only yield Normal offspring.
 
Client Name:___________________________________________________
Address:______________________________________________________
City:_______________________State:______________Country:__________
Zip/Postal Code:____________
 
Telephone:_____________________________________
Fax:__________________________________________
Email:_________________________________________
 
Litter birthdate:______________
Litter Registration Number:________________
Number of offspring to be tested:_______
 
Sire’s Registered Name:__________________________________________
Sire’s Registration Number:____________________
Sire’s OptiGen Accession Number:______________
 
Dam’s Registration Name:_________________________________________
Dam’s Registration Number:____________________
Dam’s OptiGen Accession Number:______________
 
Office use only:
 
Verification of Sire’s information:__________
Verification of Dam’s information:_________
Litter registration verification:____________
 
OptiGen Authorization Signature:_____________________________________ Date:___________
 

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OptiGen®, LLC · Cornell Business & Technology Park · 767 Warren Road, Suite 300 · Ithaca, New York 14850
Tel: 607 257 0301 · Fax: 607 257 0353 · email: genetest@optigen.com or optigen@clarityconnect.com
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