AMERICAN DEXTER CATTLE ASSOCIATION
Telephone (530) 752-2211
DHL/FedEx/UPS Address
Veterinary Genetics Laboratory
Postal Address
Veterinary Genetics Laboratory
FAX (530) 752-3556
University of California, Davis
Old Davis Road
Davis, CA 95616-8744
PO Box 1102
Davis, CA 95617-1102
Web-site www.vgl.ucdavis.edu
Owner/Agent Name: ____________________________________________________________________
Check one or more test (boxes) below:
Address: _____________________________________________________________________________
Price - $20 for first test, $10 for each additional test.
Dexter Dun
City: _______________________________________________________ State: ______ Zip:__________
Extension( Red/Black)
Phone (include area code): _________________________ FAX (include area code): ________________________
Bulldog Dwarfism (Chondrodysplasia)
E-mail address for results: _______________________________________________________________
Dexter Pulmonary Hypoplasia with Anasarca (PHA)
Polled vs. Horned
Results will EITHER be (1) mailed and e-mailed; OR (2) mailed and faxed to address provided above.
A copy of the DNA genotype and parentage results involving the sample tested will be made
available to the ADCA Registrar, and ADCA members will be able to search for and use
genotype results for purposes of identity or parentage verification. Diagnostic results (color
testing, chondrodysplasia, PHA, polled and A2) are not provided to ADCA by this lab, and must
be forwarded to the ADCA Registrar by the tester in order for the results to be included in the
ADCA Registry information.
A2 Genotyping
$20.00 per sample
Permanent Record
or
Parentage Verification
$25.00 per sample
CATTLE SAMPLED
Registered Name of Cattle
Registration #
Only one Cattle per form
PARENTS OF CATTLE SAMPLED
Date
of
Birth
Breed
Code
Sex
Color
Sire
and
Dam
Name of Cattle
Registration #
VGL Case #
(if previously tested) Sire
DX
Dam
Instructions:
 Send 20-30 hairs pulled from the switch of the tail with roots attached in a business size envelope, preferred.






VGL OFFICE USE ONLY
Label envelope clearly with the animal's name as indicated on the paperwork or registration papers.
Payment:
- check payable to U.C. Regents Non-U.S. checks must have "U.S. Dollars" or "USD" imprinted by a bank. OR
- American Express, Discover, MasterCard or Visa may be used for payment by completing the attached form.
Samples will not be tested until payment is received.
Samples from foreign countries MUST be accompanied by a current USDA import permit.
Check #
Amount
Date
Send package first class mail or via any two-day or next-day service to address shown above.
All results are confidential. The Veterinary Genetics Laboratory will not provide results by phone.
Copyright © 2013 The Regents of the University of California. All Rights Reserved.
Original records will be maintained on permanent file at UC Davis, Veterinary Genetics Laboratory
ADCA Form
Revised 06-04-2013
Credit Card Authorization Form
VGL Office Use
VGL Case #s: ____________________________
Amt. Charged: ___________________________
Date Charged: ___________________________
Credit Card Information
Print customer name as it appears on card:
Expiration Date:
Account Number:
CVV Code:
Daytime Phone Number:
Card Type*:
Signature of Cardholder:
Total amount authorized to be charged:
* Accepted credit cards: American Express, Discover, MasterCard, and VISA
Client’s name as it appears on sample submission form:
Credit Card Authorization Form
Revised 3/23/2012
Copyright © 2012 The Regents of the University of California. All Rights Reserved.