Secure On-Line Order Form
for Aviary Listings

The Bird Pages' Aviary Listings include three paragraphs about your aviary on a stand-alone, separate web page, linked from all applicable bird species pages, up to 6 photos, automated on-line referral form, Aviary News Self Editing Program to allow you to update available birds, contact information, links to web site and e-mail and hit counter to track visitors. The price for this service is just $59.95 per year.

 This order form uses industry standard, SSL (Secure Sockets Layer) encryption to ensure the security and privacy of your personal and credit card information. 
All information that you provide to us using this form, such as your name or credit-card number, is encrypted so that it can’t be read by other people. This information is kept strictly confidential, and is used solely for the purposes of billing and creating your Pet Net Listing or Web Site.

Please provide the following information so that our we can create an effective listing/web site for your aviary:

Aviary Name:


Street Address:
(required for billing purposes - will not be listed on listing or web site)


City:  State/Province:
Postal/Zip Code: Phone (include area code):
Fax:
Contact Person Name: E-mail address:

How would you like to pay for your listing(s):
Visa    MasterCard  
 Certified Check or Money Order
Credit Card Number:
Expiry Month: Expiry Year:
Cardholder name as it appears on card:




Tell Us About Your Aviary


Bird Species that you offer:


How many years have you been breeding pet birds?:


Which pet bird clubs/organizations do you belong to (if any)?


Are your birds screened for health problems?:
Yes No
Explain:


Are babies vet-checked?:
Yes No

List any tests performed


Do you provide a health certificate with each bird?
Yes No

Do you offer any health guarantees?
Yes No

Describe:


Do you screen potential buyers?
Yes No

What do you look for in a buyer for your ?


Do you provide after-sale support to new owners?
Yes No

Will you take a bird back in the unfortunate event that the new owners are unable to keep it?
Yes No

Do you ship?:
Yes No

If yes, where?
Please select from list We do not ship USA Only Canada Only USA and Canada World-Wide Other

Would you like to include prices on your listing/web site?
Yes No

If yes, please list prices or price ranges for each species:

Do you currently  have a web site?:
Yes No

If yes, please provide the URL (site address):

Additional Comments/Information about your aviary:


Any comments/recommendations for improving this form?


How did you find out about Pet Net's Aviary Advertising Services?
Just surfing the internet  E-mail Invitation from Pet Net
Referred by:


(Please press once only)