Download American Shorthorn Association DNA Testing Submission Form

American Shorthorn Association DNA Testing Submission Form
Contact the ASA for blood sample cards. Cards must accompany this form and returned with payment.
REQUIRED FOR ALL ANIMALS
Revised 4.13.16
By checking A.I. Sire/Donor Dam Requirement, testing will include GGP LD, Parentage, TH, PHA, & DS. Additional genetic conditions can be added
with GGP products for $16
American Shorthorn Association Authorization
"I hereby agree that all genetic material submitted is the sole property of the A.S.A. I hereby authorize A.S.A. to publish all genetic testing data results obtained now and in the future
to the general public from any sample submitted. I agree to waive and hold harmless and indemnify ASA and GeneSeek from any claim arising from testing or publications of data."
Signature/Date
Print Name
Billing Information (Payment must be received prior to testing)
Customer Information
Farm Name:
Payment Method: Credit Card
Contact Person:
Name on Card:
ASA Member #:
Billing Address:
Phone:
(Check if Same as Address to Left)
E-mail:
Card Number:
Address:
Visa
MasterCard
Discover
Expiration Date (MM/YYYY):
/
CVV2 (Last 3 digits of number printed on the back of card):
Signature:
Ex:
1
2
3
4
5
6
7
8
9
10
F
SH
SH
PLEASE SUBMIT COMPLETED FORM TO: AMERICAN SHORTHORN ASSOCIATION - 7607 NW Prairie View Rd., Kansas City, MO 64151
Add. Genetic Condition - $27
DS - $27
PHA - $27
TH - $27
Genetic Condition
Pricing if GGP-HD or
LD ordered $16 per
test (Add all initials
below) - TH, PHA, DS
Stand - Alone Tests
Parentage - $35
GGP - LD Profile - $55
Dam Reg #
416229
GGP - HD 150K Profile - $90
Sire Reg #
418549
GGP - HD Profile + TH, PHA, DS - $125
DOB
3/21/2014
A.I. Sire/Donor Dam Requirement - $85
Reg #
418549
Breed: SH, MA, etc.
Tattoo
1234B
Breed: SH, MA, etc.
Sample Barcode
11112154
Sex (M or F)
Genomic Tests
TH, PHA, DS - $69
City:
State:
Zip Code:
Check
DNA Testing Options
GGP – Low Density (LD) w/ TH, PHA, DS – $85 – this is a low density panel that includes parentage markers and genetic condition testing for TH, PHA and DS. This slate of tests can be used
for all AI Sires and Donor Dams.
GGP – High Density (HD) w/ TH, PHA, DS - $125 – this is a high density (150K) panel that includes parentage markers and genetic condition testing for TH, PHA and DS. This test is
recommended for elite sires and dams. Breeders may choose this option to satisfy all AI Sire/Donor Dam Requirements.
GGP-HD - $90 – this is a high-density (150K) panel that includes parentage markers. This test is recommended elite sires and dams.
GGP–LD - $55 – this is a low density panel that includes parentage markers. This test is recommened for young bulls, heifers or testing the entire cow herd.
 Please note that all of the above GGP options include parentage markers and the animals profiled will receive GE -EPDs
Stand-Alone DNA Tests

Stand-Alone tests can be ordered independently of GGP products. Animals tested under these tests will not receive GE-EPDs.

If a breeder does not wish to receive GE-EPDs on their AI Sire/Donor Dam they may order stand-alone tests for parentage, TH, PHA and DS to meet the
requirements.
Parentage Markers - $35 – parentage verification can be completed if parents are on file with the ASA
Tibial Hemimelia (TH) - $27
Pulmonary Hyposlasia w/ Anasarca (PHA) - $27
Digital Subluxation (DS) - $27
TH, PHA, DS Bundle - $69