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AKC Genetic Diversity Project Kit Request Form

1.Today's Date(Required.)
Date / Time
2.Point of Contact Name(Required.)
3.Point of Contact Email Address(Required.)
4.Point of Contact Mailing Address (Please enter complete mailing address!)(Required.)
5.Point of Contact Phone Number(Required.)
6.What breed or club are you requesting kits for? Please provide specific details.(Required.)
7.How many kits would you like?(Required.)
8.What date do you need these kits by? (NOTE: Please allow one week per every 100 kits ordered.)(Required.)
Date / Time
9.Click here to download the AKC GDP submission form. Submit one form per kit.