Adoption form

Submitted by richard on Fri, 2010-05-07 14:55

To adopt an animal please fill out the adoption form below and click submit, you will then be redirected to a secure site where you can process your payment (on the next page you will need to update the quantity box and hit 'Add to basket', you will then be able to confirm your order and pay for this adoption). Only items marked with a * are mandatory.

Application form

Is this adoption: *

a new adoption

a renewal

a group adoption

Are you a Zoo member? If yes, please enter you membership number here:

Which animal are you adopting?: *

Name of purchaser: *

Your name.

Telephone number: *

Email address: *

Details to appear on the certificate

Title (eg. Mr, Mrs, Miss): *

Name: *

Name to go on the certificate (if different from above):

Start month: *

Special date to go on the certificate:

Date that the gift is to be sent by: *

Adoptions take 28 days to be sent out from the date purchased online.

Message to go on certificate (Max. 10 words):

How did you hear about animal adoptions?:

This adoption is a Christmas gift:

(It will begin on January 1st 2012)

Delivery of the Adoption pack

If the adoption is for you, we will send it to your delivery address.

If the adoption is a gift we can send the pack to you now so you can hand it over to the gift recipient yourself, or we can send it directly to them, to arrive around the special date you have specified.

Important: As Animal Adopters will receive Zoo magazines from us throughout the year, we will need the address of the gift recipient whether or not they are receiving the adoption package in the first instance.

Delivery address line 1: *

Delivery address line 2: *

Delivery address town/city: *

Delivery address postcode: *

Should the Zoo magazines be delivered to another address?:

Yes

Check this box and fill out the alternative address boxes if you wish to have the adoption gift pack sent to you so you can hand it over yourself, but the magazines sent to the recipients address.

Alternative address line 1:

Alternative address line 2:

Alternative address town/city:

Alternative address postcode: