LYNN’S BIRDS
SAN JOSE, CA. 95127
PHONE (408)926-0649- FAX (408)272-5216 CELL# (408)786-7559
25% DOWN PAYMENT NON REFUNDABLE
DEPOSIT RECIEPT
PLEASE PRINT
DATE__________________ NAME________________________________________________________
HOME PHONE_______________________ WORK ___________________________________________
CELL PHONE ________________________ EMAIL__________________________________________
STREET ADDRESS________________________________________________APT#________________
CITY_______________________________ STATE___________________ZIP_____________________
TYPE OF BIRD_________________________________ PRICE OF BIRD__________________________
DO YOU WANT DNA DONE ON YOUR BIRD? YES ( ) NO ( )
BIRD TOTAL$_______________ DNA $____________
SEX MALE ( ) FEMALE ( ) NA ( ) BAND # IF THERE IS ONE ________________________
AMOUNT OF DEPOSIT PAID $_______________________________
BALANCE DUE AT WEANING TIME
$_______________________________
THIS 25% DEPOSIT IS NONREFUNDABLE UNLESS BIRD IS UNDELIVERABLE
NO REFUNDS IF YOU CANCEL
SIGNATURE_____________________________________________ DATE_______________________
LYNN’S BIRDS
SAN JOSE, CA. 95127
PHONE (408)926-0649- FAX (408)272-5216 CELL# (408)786-7559
25% DOWN PAYMENT NON REFUNDABLE
PAYMENT RECIEPT
PLEASE PRINT
DATE__________________ NAME________________________________________________________
HOME PHONE_______________________ WORK __________________________________________
CELL PHONE ________________________ EMAIL ADDRESS_________________________________
STREET ADDRESS________________________________________________APT#________________
CITY_______________________________ STATE___________________ZIP_____________________
TYPE OF BIRD_________________________________ PRICE OF BIRD________________________
DO YOU WANT DNA DONE ON YOUR BIRD? YES ( ) NO ( )
BIRD TOTAL$_______________ DNA $____________ TOTAL$________________________________
SEX MALE ( ) FEMALE ( ) NA ( ) BAND # IF THERE IS ONE ________________________
PAYMENT PLAN: DIVIDE THE BALANCE INTO 3 EQUAL PAYMENTS, BY THE TIME THE BIRD IS WEANED & READY TO GO HOME.
RECORD OF PAYMENTS
DATE__________$__________ DATE___________$____________ DATE__________$___________
DATE__________$__________ DATE___________$____________ DATE__________$___________
DATE__________$___________ DATE___________$_____________DATE__________$___________
DATE__________$___________ DATE___________$____________ DATE__________$___________
THIS 25% DEPOSIT IS NONREFUNDABLE UNLESS BIRD IS UNDELIVERABLE
NO REFUNDS IF YOU CANCEL