Peace of Mind Paternity DNA Test | Genomic Diagnostics

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1 Payment Option

2 Applicant Details

3 Additional Applicants

4 Billing Details

5 Review & Confirm

Peace of Mind Paternity DNA Test

STEP ONE

Payment Option
Pay Online Now*
Choose number of people taking test*
NOTE: A '+1' for additional people can refer to either an additional child or father. There is no extra price for testing of the mother when the father is being tested and it is recommended as it provides the test with a greater accuracy.

STEP TWO

Applicant Details
Name*
First Name * Last Name *
Phone*
Email*
Enter Email * Confirm Email *
How did you find us?*

STEP THREE

Additional Applicants
Name*
Father's First Name * Father's Last Name *
Relationship
Name*
Child's First Name * Child's Last Name *
Relationship
*Details for Mother can be left blank if not providing a sample
Name
Mother's First Name * Mother's Last Name *
Relationship
Additional Applicant's Details
Name*
Additional Applicant's First Name * Additional Applicant's Last Name *
Relationship*
Name*
Additional Applicant's First Name * Additional Applicant's Last Name *
Relationship*
Name*
Additional Applicant's First Name * Additional Applicant's Last Name *
Relationship*
Name*
Additional Applicant's First Name * Additional Applicant's Last Name *
Relationship*

STEP FIVE

Payment Details
Street Address*
City*
State*
Postcode*
Shipping Address
- Same shipping address
Street Address
City
State
Postcode

STEP FIVE

Confirm
Please note: payment will be charged at a later date. {all_fields}
{all_fields}
Payment Details
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$ 0.00
Email
This field is for validation purposes and should be left unchanged.