Kit Request

First Name *

Last Name *

Phone *

Email *

Provide a brief description of the organization you represent and any links to your website *

What date do you need the kit(s) by? *

Which service are you requesting? *

23andMe Ancestry Service

23andMe Health & Ancestry Service

How many kits are you requesting? *

What will the kits be used for? (ie. raffle prize, giveaway, gift basket, media / influencer review, etc.)? *

Tell us more about the audience or your readership. What is the expected attendance and/or site traffic? What are the audience demographics (e.g. primary care physicians, media, tech, executives)? *

If this is for an event, will media/reporters be in attendance? If yes, please share a brief list of expected media.

If this is a sponsorship opportunity, please detail what package(s) are available for 23andMe?

Please share any additional background information related to this kit request.