Adoption Form

Sponsor Details
Name of Sponsor: ___________________________________________________
Address: __________________________________________________________
_____________________________________________Post Code____________
Tel No. (______)____________ Email___________________________________

Your Details
If you would like the adoption pack to be sent to an alternate name and address, please provide below.
Name:____________________________________________________________
Address:__________________________________________________________
_________________________________________Post Code:_______________

Adoption Details
Bird / Animal to be adopted (please specify eg. Flamingo/Tortoise etc): ______________________________
Level of adoption (please tick)    
Premier (_) Crown (_) Supreme (_)
Adoption Band (Please Circle)
1
2
3
4
Do choose a name for your adopted animal if you'd like to make you adoption more personal:
_____________________________________________________
Date Adoption to commence ___/___/2007

Payment Details
(Payment for you adoption can either be made by using this form or alternatively call in at the information desk at Birdworld's main entrance)
Total Cost of Adoption £_______
Payment method (please tick)
Cheque (_)______ Visa (_)_______ Mastercard (_)_______ Delta (_)______ Maestro (_)
Card Number: ____________________________________________________
Valid From __/__ _______Expiry Date __/__ _______Switch Issue No: __/__

Please cut out and send this form with your payment to:
Adoptions, Birdworld, Holt Pound, Farnham, Surrey, GU10 4LD
Tel: 01420 22140 Fax 01420 23715