INTERNATIONAL ORDERS -Renal Dysplasia testing

Breed Price/ea Quantity SUB-TOTAL
       
Bernese Mountain Dogs $130.00 ____ __________
Boxers $130.00 ____ __________
Cairn terrier $130.00 ____ __________
Collies $130.00 ____ __________
Flat-coated retreivers $130.00 ____ _________
German shepherds $130.00 ____ __________
Golden retreivers $130.00 ____ __________
Gordon setters $130.00 ____ __________
Great Pyrenees
$130.00 ____ __________
Havanese $130.00 ____ __________
Lhasa Apso $130.00 ____ __________
Miniature schnauzers $130.00 ____ __________
Poodles $130.00 ____ __________
Shetland sheepdogs $130.00 ____ __________
Shih Tzu $130.00 ____ __________
Soft Coated Wheaten Terriers $130.00 ____ __________
Tibetan Terriers $130.00 ____ __________
 OTHER $130.00 ____ __________
       
    TOTAL __________

*Order 10 or more RD tests and receive the discounted price of $99.00 per test.

PRICES ARE LISTED IN US DOLLARS. There is a $35.00 service charge for returned checks

Credit card details:  VISA ___    MC___   Name on Card ________________________  Card number ____________________________  


EXP DATE  MO:_____ YEAR _________

Mail this form to :

DOGenes Inc., 161 Sherin Ave., Peterborough, ON, K9J 7V5, CANADA

Send kits to:


Name:__________________________

Address:__________________________________________________________

Phone No.______________

e-mail______________________