Order Your Kit

Contact Information:

This section covers general information about you. We need to confirm your submission with future submissions and orders. By including this info we can make sure each individual's files are stored and uploaded properly into our database and charts.

Name*

Email*

Phone Number*

Address*

City*

State/Territory*

Zip/Postal Code*

Country*

Do you have an existing Embark account?* Yes, I have an Embark account No, I do not have an Embark account

Embark Email

I wish to be identified* Yes No

I wish my dog to be identified* Yes No

I agree to allow TDDP to share my dog's genetic report* Yes No

Do you wish to share your dog's results with your breeder?* Yes No

What is your breeder's email account associated with Embark?

Dog Information:

This section covers general information about your dog. We need to confirm your current order continues it align with all future submissions. By including this info we can make sure each dog's results files are uploaded properly into our database and charts.

*The information provided will be verified with the respective registry (or registries) by a project member to ensure accuracy and authenticity of your registered Tamaskan Dog (or outcross for the Tamaskan Dog breed).

_______________________________________________________

You are required to submit this form for the full number of dogs that you intend to order kits for as part of this transaction. Only complete the number of dogs that you need to and only order the number of kits that matches your submitted dog count

Ex. if you only provide info for one dog only order one kit, info for two dogs order two kits, etc.

How many dogs are you ordering for at this time?* One Dog Two Dogs Three Dogs Four Dogs

Dog One:

This section should be completed, in full, for the first dog of your order. If you only have one dog only complete this portion and move to the terms and agreements section.

Registered Name*

Call Name*

Date of Birth

Coat Color

Registration Organization* Tamaskan Dog Register
Tamaskan Germany
Nederlandse Tamaskan
Interessengemeinschaft Tamaskan
UK Tamaskan Dog Register*

Registration Number*

Owner's Name on Registration*

Registration Documentation*

Dog Two:

If you have a second dog you would like to purchase a kit for please enter their information below. If you do not have a second dog please move forward to the terms and agreements section.

Registered Name

Call Name

Date of Birth

Coat Color

Registration Organization Tamaskan Dog Register
Tamaskan Germany
Nederlandse Tamaskan
Interessengemeinschaft Tamaskan
UK Tamaskan Dog Register*

Registration Number

Owner's Name on Registration

Registration Documentation

Dog Three:

If you have a third dog you would like to purchase a kit for please enter their information below. If you do not have a third dog please move forward to the terms and agreements section.

Registered Name

Call Name

Date of Birth

Coat Color

Registration Organization Tamaskan Dog Register
Tamaskan Germany
Nederlandse Tamaskan
Interessengemeinschaft Tamaskan
UK Tamaskan Dog Register*

Registration Number

Owner's Name on Registration

Registration Documentation

Dog Four:

If you have a fourth dog you would like to purchase a kit for please enter their information below. If you do not have a fourth dog please move forward to the terms and agreements section.

Registered Name

Call Name

Date of Birth

Coat Color

Registration Organization Tamaskan Dog Register
Tamaskan Germany
Nederlandse Tamaskan
Interessengemeinschaft Tamaskan
UK Tamaskan Dog Register*

Registration Number

Owner's Name on Registration

Registration Documentation

I agree that all information and documentation provided in this form is accurate to the best of my knowledge.*

Signature*

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