Y Chromosome Testing Application
From Dunham-Singletary Family Connections
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<emailform> | <emailform> | ||
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+ | ! Description | ||
+ | ! Price | ||
+ | |- | ||
+ | |Y-DNA 37 marker Test | ||
+ | |$158 | ||
+ | |- | ||
+ | |Y-DNA 67 Marker Test | ||
+ | |$247 | ||
+ | |||
+ | |- | ||
+ | |Y-DNA 111 Marker Test | ||
+ | |$348 | ||
+ | |||
+ | |- | ||
+ | |Refine 37 to 67 Markers | ||
+ | |$99 | ||
+ | |- | ||
+ | |Refine 67 to 111 Markers | ||
+ | |$138 | ||
+ | |} | ||
{| | {| | ||
| Full Name: || <emailform name=40 /> | | Full Name: || <emailform name=40 /> | ||
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| Email: || <emailform email=40 /> | | Email: || <emailform email=40 /> | ||
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| Comments: | | Comments: | ||
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|} | |} | ||
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</emailform> | </emailform> | ||
<emailform result> | <emailform result> | ||
− | + | Thanks for your participation in the DNA Testing Program. | |
− | + | Your information has been transmitted; You can pay for the test by clicking on the desired option below. Optionally, you can mail your payment to the DNA Testing coordinator. | |
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{| class="wikitable" align="{{{align|center}}}" | {| class="wikitable" align="{{{align|center}}}" | ||
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|$247 | |$247 | ||
|<html> | |<html> | ||
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<form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" | <form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" | ||
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method="post"> | method="post"> | ||
<input type="hidden" name="cmd" value="_s-xclick"> | <input type="hidden" name="cmd" value="_s-xclick"> | ||
<input type="hidden" name="hosted_button_id" value="XJL3KN9MYENY2"> | <input type="hidden" name="hosted_button_id" value="XJL3KN9MYENY2"> | ||
<input type="image" | <input type="image" | ||
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src="https://www.paypalobjects.com/en_US/i/btn/btn_cart_LG.gif" | src="https://www.paypalobjects.com/en_US/i/btn/btn_cart_LG.gif" | ||
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border="0" name="submit" alt="PayPal - The safer, easier way to pay | border="0" name="submit" alt="PayPal - The safer, easier way to pay | ||
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online!"> | online!"> | ||
<img alt="" border="0" | <img alt="" border="0" | ||
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src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" | src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" | ||
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height="1"> | height="1"> | ||
</form> | </form> |