Pace Society of America

Pace Surname DNA Study SAMPLE Application
Today's date is Mon Jul 04 2005 19:37:22 GMT-0700 (PDT)

This form itself is not required.  The information below in hand written or typed form is also acceptable.  YOU ARE ENCOURAGED TO APPLY ONLINE AT: Family Tree DNA Application.

Your Name
Address Line 1
Address Line 2
City State Zip
Country

Telephone Number
Email Address

Family Tree DNA has currently given a price of:

  • $99.00 for a 12-marker test, plus $2.00 postage for a total of $101.00 for a 12 marker test, which can be upgraded to a 25 marker test later for a fee of $90.00.  The upgrade would not require a new sample.
  • $169.00 + $2.00 postage for a 25 marker test for a total of $171.00.

Yes.  I want to sign up and I am willing to pay and sign the Release Form for the analysis of my DNA sample.  I am enclosing my completed Pedigree/Ancestor Chart, which contains my male Pace (or variant spelling) line back to my earliest known Pace (or variant spelling) ancestor.

I have included dates and places of birth when known, where they resided and the name of spouse, to enable you to match potential family lines.  I understand the Pedigree/Ancestor Chart is required.  I will also sign the Release Form that will be sent with the Test Kit.

Signature Date

Questions? Send mail, email or call Roy Johnson - (314) 821-0924.

SEND NO MONEY.  You will be invoiced when you receive the sample kit at which time you also choose a 12 or 25 marker test.  Your sample will be retained by the laboratory.  You can upgrade from 12 marker to 25 marker at any time.

Mail completed form to:

Roy Johnson, Project Administrator
463 Dickens Avenue
Kirkwood, MO 63122-3810

or email information to dna@pacesociety.org
Don't forget to print when completed
This page was last updated on 27-Nov-2002
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