registrar@apsb.asn.au

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DNA Kit Request

Please complete the form below:

First Name *

Last Name *

Email Address *

Membership Number *

Pony Name *

Type of DNA Test *

Fee Payment *

Pay by Cheque - A Tax Invoice will be mailed to youPay by Credit Card - Follow the instructions below to complete your payment

Use your credit card to pay your membership online by visiting payway.com.au and entering Biller Code 162677. Please use the first 6 letters of your last name as reference and enter your receipt number below.

Receipt Number

Please do not fill in this field.

Please contact the APSB Registrar or your APSB State Branch Secretary if you have any questions about DNA testing.

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registrar@apsb.asn.au

0413 207 202

PO Box 3333
Mornington VIC 3931

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