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Get Akc Dna Profile Number

AKC DNA Profile Program Parentage Evaluation Request Form Use this form to request a parentage evaluation based upon DNA samples submitted to the AKC through the DNA Profile Program. Permission is required from the owner of each dog involved. Mail or fax this form and your payment to the address below. Make checks payable to the AKC. Please do not send cash. Fill in the information below completely. Please print clearly. Address to which AKC Parentage Evaluation will be mailed Name Street City State Zip Code Telephone number Email Payment Information Check included 40. 00 Bill my OR MasterCard Visa AmEx Price does not include cost of DNA Profiles Account Number DNA test kits may be ordered online at www. akc*org or by Name on Card contacting the AKC at 919 233-9767 Expiration Date Complete the information below for each dog involved in the parentage evaluation* Use additional sheets as necessary. Parentage evaluation will not occur without an authorized signature for each dog. The signature requirement may also be satisfied by attaching a letter of consent from each owner/agent. Parentage evaluations are not available for litters born prior to January 1 2000. Unregistered dogs/puppies must be positively identified by microchip or tattoo to have their DNA profiles associated with an AKC registration number at a later date. AKC Reg* Number if available AKC Registered Name AKC DNA Profile Number if completed Authorized Signature Sire Dam Offspring Additional Sire I certify that I am the owner or authorized agent for the dog indicated* I grant permission to the AKC to release this dog s DNA genotype for parentage evaluation purposes. I understand that the AKC may share this information as necessary. Signature Date DNA Operations P. Make checks payable to the AKC. Please do not send cash. Fill in the information below completely. Please print clearly. Address to which AKC Parentage Evaluation will be mailed Name Street City State Zip Code Telephone number Email Payment Information Check included 40. Address to which AKC Parentage Evaluation will be mailed Name Street City State Zip Code Telephone number Email Payment Information Check included 40. 00 Bill my OR MasterCard Visa AmEx Price does not include cost of DNA Profiles Account Number DNA test kits may be ordered online at www. 00 Bill my OR MasterCard Visa AmEx Price does not include cost of DNA Profiles Account Number DNA test kits may be ordered online at www. akc*org or by Name on Card contacting the AKC at 919 233-9767 Expiration Date Complete the information below for each dog involved in the parentage evaluation* Use additional sheets as necessary. akc*org or by Name on Card contacting the AKC at 919 233-9767 Expiration Date Complete the information below for each dog involved in the parentage evaluation* Use additional sheets as necessary. Parentage evaluation will not occur without an authorized signature for each dog. The signature requirement may also be satisfied by attaching a letter of consent from each owner/agent.

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