myAFIL Pet Test Registration

1
What is your Country of origin?
United States
United States
United Kingdom
Australia
2
Where did you purchase the test(s) you would like to register?* This field is required.
Groupon
Living Social
Amazon
Facebook / Instagram
AFIL Website / Store
Tik Tok
Google
3
You will need your unique and unused Redemption CodeWatch this short video to locate the correct Redemption Code. Click Continue below when you have located your Redemption Code.
4
Please Enter Your Code* This field is required.Make sure this is correct. IMPORTANT: We will not be able to process your test with an incorrect code.
5
Please enter the same email address that you had used to create/register your myAFIL account?* This field is required.IMPORTANT: This is to link your registration to your myAFIL account.
example@example.com
6
Enter your Full Name* This field is required.This will become the main account holder/main person being tested. Registering for a family member or someone else?Enter their details below.
First Name
Last Name
7
Enter your Cell Phone* This field is required.This is so we can update the main account holder on the testing process.
8
Your Date of Birth* This field is required.The main account holder's date of birth.
Date
Month
Day
Year
9
Enter Your Pet's Name* This field is required.Name of your Paw
10
Is it a Cat or a Dog?* This field is required.
Cat
Dog
11
Would you like to register a New Test purchase for Additional pet(s) under the same account?* This field is required.All test results will be sent to you (the main account holder). If you would like to receive results separately on a different email address, please create register with another email address Please Note: You can also register the Same Pet for Multiple Tests, If you've brought. Eg: Pet Food Test & Pet Raw Food Test
Yes, I am registering for multiple petsNo, I am only registering for just one pet
12
You can register a maximum of 2 Additional Pets / Tests under your account.

Each additional Pet / Test will need to have their own unique redemption code & cannot use the code provided earlier.
13
How many additional pet(s) would you like to register under your account?* This field is required.This does not include the first pet.
1 more pet
2 more pets
3 more
4 more
5 more
6 more
7 more
8 more
9 more
14
Enter the details of the first additional pet you would like to register under your account* This field is required.Codes must be unique to each person and not duplicated.
ADDITIONAL PET 1: FULL NAME
ADDITIONAL PET 1: REDEMPTION, or SECURITY CODE
Please Select
Please Select
Cat
Dog
ADDITIONAL PET 1: Is it a CAT or a DOG?
15
Enter the details of the second additional pet you would like to register under your account* This field is required.Codes must be unique to each person and not duplicated.
ADDITIONAL PET 2: FULL NAME
ADDITIONAL PET 2: REDEMPTION, or SECURITY CODE
Please Select
Please Select
Cat
Dog
ADDITIONAL PET 2: Is it a CAT or a DOG?
16
Why are you taking this test for your pet(s)?* This field is required.You can choose multiple options.
Paw Biting & Licking
Upset Stomach
Constant Scratching
Hot Spots
Excessive Hair Loss
Fatigue, low energy
Constipation, Gas
Other - unidentified issue
None
17
How were you hoping this test could help your pet(s)?* This field is required.How can we best support you? Please be as specific as possible to get the most value from this service. We will only use this information to be able to maximize our service for you.
Huge
Large
Normal
Small
Ok
Ok
18
Form Submitted* This field is required.No Action Required / Do not Edit - Please Skip / Click Continue
19
Form Registration Date ( Pet )* This field is required.No Action Required / Do not Edit - Please Skip / Click Continue
Date
Month
Day
Year
20
Form Name* This field is required.No Action Required / Do not Edit - Please Skip / Click Continue
21
Terms of Service* This field is required.Nearly there, let's get the formal stuff out of the way!
I understand this test does not identify allergies. It identifies cellular inflammatory responses which can react differently and may give opposing results to blood work or allergy tests.
I will submitted hair samples which reflect a true version of myself/any additional pet registered.
I will mail my pet sample via tracked mail or courier. (If you mail your sample via standard mail we cannot accept responsibilities for any lost or misplaced mail).
22
Terms & Conditions* This field is required.Last Step.
Should be Empty: