Allepet Kit Ordering Form for Consumers

This kit requires a blood draw

Dog Owner Name*

First NameLast Name

Email Address (Test results will be sent here)*

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Shipping Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Choose kit quantity. One kit per dog to be tested*

Allepet Test Kit

$139 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Dog Name*

Dog Age*

Dog Breed*

Second Dog Name

2nd Dog Age

2nd Dog Breed

Third Dog Name

3rd Dog Age

3rd Dog Breed

Fourth Dog Name

4th Dog Age

4th Dog Breed

Your on-file credit card will only be charged upon receipt of your sample at our lab.

I acknowledge I am responsible for obtaining a blood draw for testing. This kit is non-refundable. *

Kit Order Form