Activate your kit | breeder

If you have any questions please do not hesitate to contact us.

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Name(Required)

First Last

Address(Required)

Street Address City ZIP / Postal Code Country

Phone(Required)

Email address(Required)

Name of the dog(Required)

Dog breed(Required)

Is the dog registered with a breeding association? If yes, which association?(Required)

Gender of the dog(Required)

Male

Female

Is the dog neutered or spayed?(Required)

Yes

Age of the dog(Required)

Does your dog have a microchip? If yes, enter the chip number here to link to the unique DNA.(Required)

Date of sampling

DNA Sample 1 collection number (See barcode of test kit)(Required)

DNA Sample 2 collection number (See barcode of test kit)(Required)

Is your dog known to have any diseases or abnormalities?

As part of research into your purebred dog, we would like to send you some surveys, as this may provide direction as to which locations may be affected by a particular disease, defect or mutation. Please give your permission for this?(Required)

Yes, you may

No, you may not

Do you give permission to share the data with the breed association?(Required)

Yes

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Contact details

Calenwiel 18
5056 DB Berkel-Enschot
013 455 1749

Also safe for high-risk groups and children

Extensively tested in hospitals and dermatology centres

User-friendly, sustainable, vegan and widely applicable

Innovative microbiological action

Activate your kit | breeder

If you have any questions please do not hesitate to contact us.

Fill in the form below

Contact details

Fungismart

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