PaternityUSA's
Secure
Order Form
Simply Answer The All The Questions Below.
If You Need Help,
Please Call (877) 786-9543
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Clients
Telephone
Night:
(ONLY PROVIDE THE NAMES OF THE PARTIES BEING TESTED)
Note: In a Non-Legal DNA Paternity Test,
Real Names Need Not Be Used
(If
more than one child or father is being
tested, please separate with comma.)
(I.E. John Doe, Jane Doe, etc.)
BILLING INFORMATION
Visa
MasterCard
American Express
Discover Card
Pay Pal
Please Enter Name And Address Of Person Paying For Paternity
Test
Credit Card Account Number:
Month:
Year:
Please Use this Section To Provide Any Additional
Information that
would help to clarify this order such as special
shipping instructions or additional ship to
addresses.
(All Orders Allow For (1) FREE FEDEX To (1) ADDRESS
-Add'l
Ship To
Addresses Are Billed At $55.00ea.)