Please print out the order form below and mail to me. You also can  order here. Its an online order form.  Please email me to see what birds I have available before you order. Thanks

Each bird comes with a  Hatch Certificate

Name: _____________________________________________________

Address:______________________________________________________

City:______________State:________zip:______________________

Mailing address if different: ___________________________________

city:___________state:_______________zip:__________________

Phone__________________

Best Time to call:____________________

Time Zone you are in:____________________

Email:__________________________

ICQ:________________________

Aol Im Name:________________

Species of bird/Quantity:

_____________________________________________

_____________________________________________

The following Questions are for research ,and customer service use only. In no way shape ,or form will this informaiton be exchanged ,or sold to anyone.. This info is so we can better server your needs ,and for you to adopt a bird to suit your lifestyle that your whole family will enjoy, and love.   Also , so that in the case of other pets ,and children special instruction information, and care can be provided, and instituted in reference to relationships of possible other pets in your home, and /or young children, and handling these sensitive situation. The following questionaire is completley voluntary, and will not affect the sale of your bird. The more we know , the more informed you will be about your specific needs/situation and smoother the transition for everyone. Remember birds live a long time.

Parakeets (10-15 years) to Amazons 60-70 yrs to Macaws who have been recorded living over 90-100 years (some species)

Thank you for your coorperation and Good Luck!

"Questionaire"

1. Have you ever owned a bird before?__________________

2. If yes. What species/how many/how long ago/what happened?____________________________________________________

_______________________________________________________________

3. Do you have any other pets in the house )cats/dogs/ferrets/etc.)________

_____________________________________________________

4. Do you have children? If yes what age range?

infant to 2________

2-5__________

5-9__________

10-14_________

15-18_________

18-21_________

What kind of lifestyle do you live? (9-5 worker,house wife/homemaker , work days/nights?)__________________________________________________

_____________________________________________________________

Do you APT/House ,or own home , or multidwelling/apartment building?_____________________________________________________

_______________________________________________________________

Method of payment:

Check:_______

Money order:_______

Credit Card:______

Name of Credit card:__________________________

expiration date:___________________________

Name on the card:____________________________

YOUR NAME MUST BE ON THE CARD!

Phone number is:
(570) 895-4605
fax # is (570)895-4607

Jody Murray
PO Box 1060
Pocono Summit, Pennsylvania 18346-1060

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