Home Paternity Kit Order Form Step 1 of 4 25% Participants*234Shipping Address*OneTwoShipping*2-3 Day - FreeExpress - $20Two Address Shipping*2-3 Day - $5Express - $40A $5 handling fee is added for standard shipping to two addresses.Total $0.00 Participant #1Name* First Last Date of Birth* Relationship*Father | Alleged FatherMotherSonDaughterAuntUncleGrand-FatherGrand-MotherNieceNephewGrandsonGranddaughter1/2 Sister (share the same Father OR Mother?)Full Sister (share the same Father AND Mother?)1/2 Brother (share the same Father OR Mother?)Full Brother (share the same Father AND Mother?)Participant #2Name* First Last Date of Birth* Relationship*Father - Alleged FatherMotherSonDaughterAuntUncleGrand-FatherGrand-MotherNieceNephewGrandsonGranddaughter1/2 Sister (share the same Father OR Mother?)Full Sister (share the same Father AND Mother?)1/2 Brother (share the same Father OR Mother?)Full Brother (share the same Father AND Mother?)Participant #3Name* First Last Date of Birth* Relationship*Father - Alleged FatherMotherSonDaughterAuntUncleGrand-FatherGrand-MotherNieceNephewGrandsonGranddaughter1/2 Sister (share the same Father OR Mother?)Full Sister (share the same Father AND Mother?)1/2 Brother (share the same Father OR Mother?)Full Brother (share the same Father AND Mother?)Participant #4Name* First Last Date of Birth* Relationship*Father - Alleged FatherMotherSonDaughterAuntUncleGrand-FatherGrand-MotherNieceNephewGrandsonGranddaughter1/2 Sister (share the same Father OR Mother?)Full Sister (share the same Father AND Mother?)1/2 Brother (share the same Father OR Mother?)Full Brother (share the same Father AND Mother?)Shipping InformationShipping Name* First Last Shipping Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Shipping Name #2* First Last Shipping Address #2* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Security Word/Number*This security phrase will be used to verify your identity later when receiving results. Any word or phrase less than 8 characters is allowed.Extra InformationAdd any extra relevant information related to your home paternity test.Contact Phone*Contact Email* Enter Email Confirm Email Total $0.00 Coupon Billing Name First Last Billing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please note that the card billing address must match the address on record with the credit card company where your statements are sent.Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Phone*Email*