EPAGS DNA submission form

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Equine Parentage and Animal Genetics Services Centre
DNA Test Submission form
Owner Name
Postal Address
Submitter Name
Postal Address
Phone
Email
Please tick the breed to be tested, and the tests required.
Avian
Equine
Phone
Email
Spider lamb
Genotype
Tobiano
Silver
Sabino
Lethal White
Extension
Cream
Agouti
NI titre
Aa/Qa
Malaria
Chlamydia
PBFD
ID
Sex
Species /Breed
Ovine
Lab
Number
Lab to fill out
Massey University accepts no liability for the accuracy of animal's information which is supplied by the sample submitter and the submitter verifies that the animal information submitted on this form is true and
correct.
Submitter sign:
Address to send samples:
Equine Parentage & Animal Genetic Services Centre
Drysdale Drive
Massey University PN811, Palmerston North 4472
.
Date:
Please enclose payment with your samples.
(Cheques made out to `Massey University’ please)
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