Equine Dna Test Submission Form - Animal Genetics Uk
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1Equine DNA Test Submission Form
This procedure is a DNA-based diagnostic test to identify different colour
mutations in horses. Please complete the form to the best of your knowledge.
1.
Send 30-40 mane or tail hairs pulled with roots attached in a plastic zip-lock bag.
1 Mount Charles road, St Austell, Cornwall.
2.
Label bag with the horse’s name as indicated on this form.
PL25 3LB UK
3.
Include cheque, money order or credit card information for the appropriate amount.
Tel: +44 (0) 1726 247788
4.
Post samples to the address indicated below.
Name:______________________________________________Stud/Farm:______________________________________________
Address:_____________________________________________________________________________________________________
City:__________________________________County:_____________________________Post Code:_______________________
E-Mail Address:__________________________________________________Phone/Fax:__________________________________
Horse Name:___________________________________________Registration #:__________________________________
Year of Birth:_______ Male/Female? Breed:______________________________Colour:__________________________
Sire's Name:_____________________________________________Reg #:_______________________________________
Sire's Breed:____________________________________ Sire's Colour:__________________________________________
Dam's Name:____________________________________________Reg #:________________________________________
Dam's Breed:___________________________________ Dam's Colour:__________________________________________
EQUINE COAT COLOUR
EQUINE GENETIC DISORDERS
Red Factor
£20.00
£30.00
Hereditary Equine Regional Dermal Asthenia (HERDA)
each test
Each Test
Agouti (Bay)
Hyperkalemic Periodic Paralysis (HYPP)
Glycogen Branching Enzyme Deficiency (GBED)
Cream Dilution
Junctional Epidermolysis Bullosa (JEB)
Champagne Dilution
Polysaccharide Storage Myopathy (PSSM)
Pearl Dilution
Cerebellar Abiotrophy (CA)
Silver Dilution
Lavender Foal Syndrome (LFS)
Tobiano
Grey
Appaloosa (LP Gene)
EQUINE TYPING PROFILE £30 Per Horse
Lethal White/Frame Overo
Individual DNA Profile (ISAG
DNA PROFILE/ PARENTAGE TEST
Sabino1
profile)
Parentage Verification
Foal __________________________ Mare __________________________
Dominant White (W5, W10)
Splash Overo (SW1, SW2 & SW3)
Sire 1__________________________ Sire 2_________________________
To pay by card:
All major card types
Card number:_____________________________________________________Expiry date:___________
accepted
3-digit Security Code (Back of card)_______________ Issue Number (Switch only):___________
To pay by cheque: Cheque number:___________________ Account holder signature_____________________________
*Cheques payable to Animal Genetics
Results are available 5-7 days after sample is received.
Email: contact@animalgenetics.eu
Sample Submission Address: Animal Genetics UK, 1 Mount Charles road, St Austell, Cornwall. PL25 3LB UK
By submitting this form, the customer understands that Animal Genetics shall in no way be liable for any incidental or consequential damages of any kind.
Animal Genetics UK is not responsible for the origin/source of samples submitted by the individual customer.
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