Peace of Mind Genetics believes in rewarding those who tell others where they
can find peace of mind. Whether you are an individual, business or organization,
we would like to express our gratitude to you and provide your referral with the
highest quality of service we can offer.

Please use this form to sign up as a new referral source or to provide
information regarding a referred customer.  If you are joining as a new referral
source, your referral card and number will be emailed to you promptly.  All
referral compensation will be made by the 15th day of the following month. You
will receive one card for every referred client who does business with Peace of
Mind Genetics. *

This month's gift of appreciation is a $50.00 Visa gift card.










































*The $50.00 VIsa gift card offer only applies to new paternity testing referrals beginning 5/21/2006.
Referrals for clients choosing payments plans at  the regular price of testing will be paid at the
conclusion of their final installment. Peace of Mind Genetics reserves the right to substitute and or
modify its referral offer(s) at any time without notice. Click here for questions regarding this program.
Your name  or
organizations name :
Your email address:
Your phone number:
Your referral ID if
already registered:
Comments:
Referrals' name :
Referrals' email
address:
Referrals' phone
number:
Comments or
special
instructions
about referral :
Peace of Mind Genetics
                                                                                                                       314-714-5DNA (5362) or 800-621-1740
Peace of Mind begins with the truth. We'll Give you Both.