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Name : *  Address :  City: State:   Country:*   Select Country AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA KUWAIT KYRGYZSTAN LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT SAMOA SAN MARINO SAO TOME SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA SPAIN SRI LANKA SUDAN SURINAME SVALBARD SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED STATES UNITED KINGDOM UNITED STATES MINOR URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN VIRGIN ISLANDS, U.S WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE VENEZUELA WESTERN SAMOA ZAMBIA ZIMBABWE Post Code: Telephone:*   area[ ] ext. Work Phone :   area[ ] ext. Fax:*   E-mail:*   What is your preferred method of contact? Select One Phone Work Phone E-mail How did you hear about us? Select One Yellow Pages SuperPages Family/Friend Doctor (specify if other) Test Center (specify if other) Attorney (specify if other) Hospital (specify if other) Internet (specify if other) TV/Radio (specify if other) Other (specify in other) Specify the Name :     Select your Test Select One Test Y-DNA12: 12 Marker Test (G) Y-DNA12: 12 Marker Test (R) Y-DNA 25: 25 Marker Test (G) Y-DNA37:37 Marker Test (G) Y-DNA37: 37 Markers Test (R) Y-DNA67: 67 Markers Test (G) Y-DNA67: 67 Markers Test (R) Y-Refine12to37 * (G) Y-Refine12to37 * (R) Y-Refine25to37 (G) Y-Refine25to37 (R) Y-Refine12to67 ** (G) Y-Refine12to67 ** (R) Y-Refine37to67 *** (G) Y-Refine37to67 *** (R) mtDNA mtDNAPlus mtDNA Refine * mtDNA Full Sequence Y-DNA12+mtDNA Y-DNA37+mtDNAPlus Y-DNA67+mtDNAPlus SuperDNA Maternal Ancestry -DNA-Mother(mt-DNA) Paternal Ancestry- DNA-Father(Y-Chromosome) Both Paternal & Maternal Ancestry-DNA Father & Mother (Y-chromosome & mt-DNA) Ancestry by DNATM 2.5 Euroasian DNA 1.0 Upgrade from Ancestry by DNATM 2.5 to Euroasian DNA 1.0 European DNA 2.0 Upgrade from Ancestry by DNATM 2.5 to European DNA 1.0 Ancestry by DNATM 2.5 results with European DNA 2.0 Y-SNP mtDNA HVSI mtDNA HVSI and HVSII Note: To view the Price Details you must select Country and Test Name Test Price 0  (Dollars) Test Kit Charge 0  (Dollars) C Charges 0  (Dollars) Total Cost 0  (Dollars)     Payment Type Cash   Bank Transfer   Comments:*

Please Note :

G - Group Rates Members of an enlarged family group, or descendants from a tribe, that want to test to verify that they share the same ancestral lines

R - Non-Group Rates Individuals that randomly want to test

* - Y-DNARefine12to37 tests the additional 25 markers for those who have originally tested 12 markers. Therefore it can't be ordered as a stand-alone test.

** - Y-DNARefine12to67 tests the additional 55 markers for those who have originally tested 12 markers. Therefore it can't be ordered as a stand-alone test.

*** - Y-DNARefine37to67 tests the additional 30 markers for those who have originally tested 37 markers. Therefore it can't be ordered as a stand-alone test.

* - The mtDNARefine is an add-on test for customers who previously ordered the HVR1 MtDNA. Therefore it can't be ordered as a stand-alone test.