Application Form

alpaca

Telephone: 01303 872273 Fax: 01303 873266

Haguelands Farm, Burmarsh, New Romney, Kent TN29 0JR

Alpaca

Haguelands Farm

Adopt alpaca

Llama

Unique gift

Unusual gift

Adoption Application

Please complete the form below. Decide how you would like to pay. If you would like to use PayPal, please ignore the boxes concerning your credit/debit card and instead click on the PayPal link. This will take you to the PayPal site.

Please continue to complete the details below if you are paying by credit or debit card or just click on the PayPal link if you wish to use PayPal. If you prefer not to submit your details in this way, please print this page and post it to us for processing.

Your Full Name

Your address

Your telephone no. (inc STD code)

Your email address

Please state which Alpaca you have chosen

Recipient's Full Name

(to be entered on Certificate)

Age Group of Recipient

Gender of recipient

Delivery Address

Name of sender for gift tag / certificate

Message to accompany gift

Name on Credit/Debit Card

Please state whether: Visa/MasterCard/Debit

Card No. (16 digits)

Start date dd/mm/yyyy

Expiry date dd/mm/yyyy

Last 3 digits from security strip

Type the letters that you see & then click Submit - this is a security feature

continue to complete your card details below or if you prefer, skip this section, just submit the form and then we will telephone you for your payment details

and finally........