GenTest Equine Order Form - Veterinarians and Owner-Breeders - Price List Guide  per  May 5, 06 

GenTest reserves the right to review pricing at any time, as it deems necessary and make adjustments accordingly.
All Prices include Sample Collection Kit
Qty.	Item #	Services/Products	Description	Price (AU$)	Total (AU$)
	E151	SCID Test - Arab or half Arab                   Swabs + Hair	1 horse	193.00
	E152	SCID Test - Arab or half Arab-                  Swabs + Hair	2-6 horses *	173.00 each
	E153	SCID Test - Arab or half Arab-                  Swabs + Hair	7-15 horses *	153.00 each
	E154	SCID Test - Arab or half Arab-                  Swabs + Hair	16 + horses *	139.00 each
Choose 1 or 2 coat color tests = Total$73.00  Include 3rd  4th test for $53.00 each / Same Horse
	C121E	ChromaGene™ Equine Coat Color         Swabs + Hair	Chestnut - All Breeds
	C121A	ChromaGene™ Equine Coat Color         Swabs + Hair	Black - All Breeds
	C121Cr	ChromaGene™ Equine Coat Color         Swabs + Hair	Cream -  All Breeds
	C121O	ChromaGene™ Equine Coat Color         Swabs + Hair	Lethal White Syndrome (Overo)
Additional Services
	E155	Parentage **- All Breeds                           Hair only	Submit - Stallion, Mare and Foal	87.00 each
	E156	Profiling ** - All Breeds                              Hair only	DNA Profiling (fingerprinting)	87.00
		** Minimum 3 weeks processing
All results are confidential
	M501	Priority Mail	Within Australia - Only	4.00
	M502	Certificates	Reprints / or changes to information	20.00
				TOTAL $

Note:   Please fill out this entire form and include Visa / Master Card information or Cheque or Money Order for the appropriate
amount to obtain oral cheek swab sample collection kit (price includes test kit) OR to submit a blood sample for testing.
All Tests and Services obtained through GenTest are to be prepaid.
Due to  fluctuation of International Currency Exchange values, Prices may vary on the day charges being processed..
 

(Please do not send cash. International customers convert payments to AU$)   Owner/Breeder Name: ___________________________________________Phone:(______)_______________________   Address: __________________________________________________________________________________________   City: _________________________________State: ____________ PC: _____________ Country:___________________     Email Address if available ____________________________________________________________________________

Payment Type (circle one):       Check        Money Order        Master Card        Visa Card  Credit Card No: _______________________________________________________ Exp.Date: ____________________  Cardholder Name: _________________________________________  Signature: _______________________________ Please send Results to Owner/Breeder above: □  OR  Veterinarian below: □  (Please check one)

(if applicable)  Veterinarian Submitting Sample:___________________________________ Signature: ___________________________  Clinic Name:_______________________________________________________________________________________  Address:__________________________________________________________________________________________  City: __________________________________ State: ____________ PC: ____________ Country:__________________  Phone: ____________________________________________ Fax: ___________________________________________    Email Address if available ____________________________________________________________________________ Please mail to:   GenTest,   P.O. Box 239,   Miller   NSW   2168,   Australia. Phone / FAX:   +61 (0(2) 9600-7958  -  Mobile: (0400) 800667 E-mail:  gentest@optusnet.com.au  Web: http://members,optusnet.com.au/~gentest/   Back to Home Page