|
|
|
|
P.O. BOX 1740, WATSONVILLE, CA 95077 PHONE (831) 761-0566 – PHONE/FAX (831) 761-0455 PAYMENT RECEIPT PLEASE PRINT DATE___________________ NAME_____________________________________________________ HOME PHONE____________________ WORK PHONE___________________________________ CELL PHONE _____________________ EMAIL ADDRESS________________________________ STREET ADDRESS____________________________________________ APT # ________________ CITY____________________________ STATE___________________ ZIP ___________________ TYPE OF BIRD____________________________________ PRICE OF BIRD________________ TYPE OF BIRD____________________________________ PRICE OF BIRD________________ TAX (CA Residents – 7.25%)__________________________ BIRD TOTAL $_________________ PAYMENT PLAN: DIVIDE THE BALANCE INTO EQUAL MONTHLY PAYMENTS FOR THE ESTIMATED NUMBER OF MONTHS UNTIL WEANING. PAYMENTS CAN BE MADE BI-MONTHLY AS WELL. RECORD OF PAYMENTS: DATE__________$__________ DATE___________$____________ DATE___________$________ DATE__________$__________ DATE___________$____________ DATE___________$________ DATE__________$__________ DATE___________$____________ DATE___________$________ DATE__________$__________ DATE___________$____________ DATE___________$________ THIS 1/3 DEPOSIT IS NON-REFUNDABLE UNLESS BIRD IS UNDELIVERABLE NO REFUNDS IF YOU CANCEL SIGNATURE_______________________________________ DATE________________________ |
|
