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Online submission form for genetic tests

Please only complete this form when you are ready to send us your swabs.
If you require swabs please complete a swab request form.

OWNER/BREEDER INFORMATION

Fields marked * must be completed.

Title
First name*
Last name*
Address including post code*
Email*
Telephone*
Promotional code
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CAT 1 INFORMATION

Cat 1 Name Microchip No. Registration No. Breed DOB Sex
Pick a date

CAT 1 GENETIC TESTS REQUIRED - PLEASE TICK

Maine Coon HCM Blood type PRA (cat rdAc) PKD PK Def
Ragdoll HCM Chocolate Cinnamon Dilute Agouti
Siamese colourpoint Long hair GSD IV (NFC) Amber (NFC)
Burmese colouration Burmese GM2 Hypokalaemia

CAT 2 INFORMATION

Cat 2 Name Microchip No. Registration No. Breed DOB Sex
Pick a date

CAT 2 GENETIC TESTS REQUIRED - PLEASE TICK

Maine Coon HCM Blood type PRA (cat rdAc) PKD PK Def
Ragdoll HCM Chocolate Cinnamon Dilute Agouti
Siamese colourpoint Long hair GSD IV (NFC) Amber (NFC)
Burmese colouration Burmese GM2 Hypokalaemia

CAT 3 INFORMATION

Cat 3 Name Microchip No. Registration No. Breed DOB Sex
Pick a date

CAT 3 GENETIC TESTS REQUIRED - PLEASE TICK

Maine Coon HCM Blood type PRA (cat rdAc) PKD PK Def
Ragdoll HCM Chocolate Cinnamon Dilute Agouti
Siamese colourpoint Long hair GSD IV (NFC) Amber (NFC)
Burmese colouration Burmese GM2 Hypokalaemia

CAT 4 INFORMATION

Cat 4 Name Microchip No. Registration No. Breed DOB Sex
Pick a date

CAT 4 GENETIC TESTS REQUIRED - PLEASE TICK

Maine Coon HCM Blood type PRA (cat rdAc) PKD PK Def
Ragdoll HCM Chocolate Cinnamon Dilute Agouti
Siamese colourpoint Long hair GSD IV (NFC) Amber (NFC)
Burmese colouration Burmese GM2 Hypokalaemia

If you need to submit information for more than 4 cats please first submit this form and then use the link on the following page to return to this form to submit information for more cats (please DO NOT use the Back button on your browser)

Comments:

Please tick the box below to confirm you have read the declaration:

* I declare that the sample(s) presented for testing is/are from the cat(s) described above, that the particulars provided are correct and that I am the legal owner of these cat(s). I agree that the sample(s) may be used anonymously for statistical and research purposes, which may be published.

I understand that cats submitted in this way will not be eligible for entry onto FAB negative or some GCCF active registers.

Payment must be made at the time of sample submission either by cheque (payable to Langford Veterinary Services Ltd) or using the online payment system. When you press the Submit button you will be directed to a new page containing your details and information about payment options. You must print the new page, sign and date it and include it with your swabs.

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