Adoption Form

Purchasers Details
Name: ___________________________________________________________
Address: __________________________________________________________
_____________________________________________Post Code____________
Tel No. (______)____________ Email:__________________________________

Sponsors Details (The person who the adoption is for)
Name of Sponsor:___________________________________________________
Address:__________________________________________________________
_________________________________________Post Code:_______________
Telephone No:_______________________ Email: _________________________

Adoption Details
Species to be adopted (Please specify eg Flamingo / Tortoise etc):
_________________________________________________________________

Adoption Type (Please circle)
Junior Bronze Silver Gold Platinum Corporate

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 (_)______ Switch (_)
Card Number: ____________________________________________________
Valid From __/__ ____Expiry Date __/__ __ __Switch Issue No: __/__ ____Sec Code:____

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