AidGenomics

CUSTOMER DETAILS:

Please fill in the contact in order to schedule the test. Please note that after payment, the receipt will be sent to the email address filled here.

First Name

Last Name

Email Address:

Phone Number

Choose Test Track

Please note that fast service is only possible at selected service points.

Select a sampling point

Test / sampling date: Please choose your preferred date and arrive during the opening hours listed on our website.

Is the test for flight?

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Please add the subjects' details in English as indicated on the Passport. In English Only

Please add the subjects' details as indicated on the ID Card or Passport.

Total Subjects: 0

Names:

And if you have a coupon code, type it here and click enter

Coupon value 0₪

Total payment 109₪

By clicking "Complete process", your request will be forwarded to our customer service department for telephone billing of the means of payment.

First Name(like in your passport)* First Name(like in your id or passport)*

Last Name(like in your passport)* Last Name(like in your id or passport)*

Birthdate *

Israeli Citizen? *

ID Number *

Passport Number

Choose Identifer*