DNA PARENTAGE TESTING FORM

To take this DNA test you can the samples yourself, printout this form and mail to the DNA SOLUTIONS office in your area.
Click here for all documents, including instructions to print out and take test now.
Alternatively you can recieve all necessary materials in the mail. Click here to order the free kit.
If you cannot print out all documents (from above link) then follow steps below:

TO TAKE THIS TEST NOW FOLLOW THESE STEPS:
1. Please print this page out. Otherwise contact us and we'll send this page to you.

2. Label a paper bag or paper envelope (do not use a plastic bag) with the name of each person being tested. For example (Bob-Father, Mr.X-Father, oldest Son, Shirley-Daugher, etc.)

3. Please read the terms and conditions below. You must sign to show you understand and agree to them. If you have any questions, you can email us or use our online enquiry form.

4. For instructions on taking a buccal swab, or by using cotton buds or a toothbrush that you can supply yourself, click here.

5. For instructions on taking Hair Samples click here.

Please send form to:

MAIL	DNA SOLUTIONS 145-157 St John Street London EC1V 4PY
LOCAL CALL	0845-450-0010
Email	dna@dnasolutions.co.uk

Please complete following contact details:

Name:

Phone:

Address:

E-mail:

Fax:

Relationship:	Identification used for sample:	Official Use
Father	.	.
Mother	.	.
Son	.	.
Son	.	.
Daughter	.	.
Daughter	.	.
	.	.
	.	.
	.	.

I want to have test: (Prices below for testing Father AND child (plus mother, if included)

19 Loci Premium Test	99.99% accuracy	- �195
23 Loci Super Test	99.9999% accuracy	- �245

Extra child/father	per additional person	- �75
Discreet Sample	per discreet sample	- �75

Please decide if you would like results more urgently
Tick here for results in 2 - 4 weeks (no extra charges)
Tick here for 9 working days Express Service (extra �79)
Tick here for 5 working days Express Service (extra �189)

Results option
Tick here to recieve print out of the DNA band images from analysis computer. (extra �19)

My security password is ________________________
This password will allow you to recieve results via telephone - please do not forget your password

Terms and Conditions

1.We DNA Solutions warrant that the result of the analysis of biological samples provided to us by you ("the customer") is correct but subject to a margin of error of 0.001%. No further representation, warranty or undertaking is given or made in relation to the result of analysis.
2.The information contained in the result of analysis is prepared solely for the use of the customer to whom it is given or sent by DNA Solutions.
3. In the very unlikely event that the result of analysis is found to be in error, we shall refund to you any monies you have paid us in respect of the analysis. Alternatively, we shall perform a further analysis for you at no charge to you.
4. Subject to paragraph 3 above, we shall not be liable for any loss or damage suffered by you or any other person as a result of the provision to you of a result of analysis.
5. We make no representation, express or implied, that the result of analysis is fit for any particular purpose. If you intend to use the result of analysis in any court proceeding you should obtain independant legal advice with regard to your legal rights and with regard to the cost and practicalities of so using the result of analysis.
6. You warrant that you are legally entitled to possession of the samples you have provided to us. You agree to indemnify us against any loss or damage that we may suffer as result of you providing us with samples which have not been legally obtained. You should obtain independant legal advice about your legal entitlement to take or obtain samples of biological material from persons other than yourself. We make no representaion that you are legally entitled to perform any particular act in order to obtain biological samples for analysis.

I hereby agree to the terms and conditions set out above and confirm the information I have given is correct.

Name (please print)
Signed:
Date:

Name (please print)
Signed:
Date:

Results can only be supplied to persons who agree and sign the terms and conditions (above)

Please select one or more of the following methods to receive your results:

Email	Post
Fax	Telephone

Payment options :


Cheque*	Money Order*	Bank Transfer	Pay Pal*
Visa	Mastercard
* Please make cheques payable to DNA SOLUTIONS
* Pay Pal customers can use dnapay@dnasolutions.org for payments.

Credit Card details:

Card number:
Cardholder's full name:
Expiry date:
Signed: