Please provide a valid name & the address on your drivers license this will be the given address when a glider is being shipped. When you pick up the shipped sugar glider they will ask you for your ID and the name & address must match. Please provide me with your valid drivers license number along with the State issued in. Example: If you live in Florida you would put ( FL and then the license number). All information given here with in is confidential and will not be shared with others. PLEASE NOTE: For legal reasons you must be at least 18 years of age to sign this agreement.
Full Name* Street Address:* City* State* Zip/Postal Code* Contact Phone* E-mail* Valid Drivers License# Please truthfully answer the following questions for your sake & the sake of the sugar gliders.
Full Name*
Street Address:*
City*
State*
Zip/Postal Code*
Contact Phone*
E-mail*
Valid Drivers License#
Please truthfully answer the following questions for your sake & the sake of the sugar gliders.
*Are you allergic to animal fur? Please Select One Yes No Some
*Where you live are pets allowed? Please Select One Yes No Not sure
Please tell me a little about yourself include what experience you have with sugar glides:
What other animals / pets do you own if any?
Please chose one of the following:
I am a licensed breeder I am a breeder but not licensed I am looking for a pet only I just want some babies
If you are a licensed breeder please provide me with your license number:
Please tell me about the Diet you plan to use?
*Would you like a health certificate for an extra $70.00 ?
Please Select One Yes No
Do you need the glider (s) shipped?
Yes No
Are you 18 years of age or older?
*By submitting this application you agree to the terms and conditions of my policy
& swear all given information is true to the best of your knowledge ?
Please Select One I agree No I decline