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Poultry Wormer Request Form

In order to purchase certain products from our website, you are required to supply information about your intended use for the products and your understanding of the product information and administration.

Please complete the form below, and indicate whether or not you have already placed your order. We will contact you if we require further information or do not think the product is suitable for you.

If you have any questions please feel free to telephone on 0191 5277025 - you will need to speak to the SQP, Catalina Tate.

Product: Flubenvet 1% AND/OR Marriages Layers Pellets with Flubenvet

Please provide your full name, email address and telephone number so that we may contact you about your request:

Full name
Email address
Telephone

Have you already placed your order for these products?

If yes, please enter your order number:

What kinds of birds/animals are you intending to treat with this product, and how old are they (approx)?

How many indivdiuals do you need to treat?

Please specify the address at which the individuals are kept:

Please confirm that the following statements are true by ticking the boxes:

I am a domestic keeper and do not sell eggs or meat
I am not purcahsing this product for resale - it is for my own use
I understand how to use this product and will do so in accordance with the instructions
I have read and understand the product warnings

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© 2008 Garden Feathers Bird Supplies - Unit 6 Hutton Street, Boldon Colliery, Tyne and Wear, NE35 9LW.
Delivery service to Sunderland, Durham, Washington, Gateshead, Houghton le Spring and Newcastle.
Poultry supplies, cage and aviary bird supplies, racing pigeon supplies.