USE THIS FORM FOR CASH/CHEQUE/CREDIT CARD ADOPTIONS ONLY
Fill in this form online, PRINT it out, click on the 'Finish' button, and send it together with your remittance to the address at the bottom of the form. DO NOT email us your credit card details.

1. Your Details 2. This adoption is:
Buyers Details
Title:
Forename:
Surname:
Address1:
Address2:
Address3:
Town:
Postcode:
Country:
Tel:
Email:
Recipients Details (if a gift)
Title:
Forename:
Surname:
Address1:
Address2:
Address3:
Town:
Postcode:
Country:
 

3. I would like to adopt:
4. If this is a gift,
5.

I would like the following message on the card sent with the adoption gift pack:

6. If this is a gift for a special occasion, please give date of occasion so we can send & date at the appropriate time: Day    Month  
7. I enclose cash/cheque for  EUR (minimum 15 EUR per adoption)
I have included  EUR as an additional donation
  Or please debit my   EUR  
  Credit Card Number:  Expiry Date:  /  Chip & Pin Card?
8.
Signature: ....................................................................... (credit card payments only)

Please make cheques payable to 'El Refugio del Burrito'
Send your completed form and remittance to:
El Refugio del Burrito (Adoptions),
Apartado 25,
29520 Fuente De Piedra, Málaga, Spain

Print out your completed form and then click ->