| Name: | |
| Please provide the first line of your STREET ADDRESS | |
| Please provide your POSTAL TOWN | |
| Please provide your COUNTY | |
| Please provide your POST CODE | |
| Email Address: | |
| Please provide a LAND LINE telephone number | |
| Are you currently a paid-up Tortoise Trust member? |
Yes No (We cannot accept your application at this time) |
| Have to taken the Tortoise Trust Course on Husbandry? |
Yes No |
| Are you a reptile dealer or trader? | |
| Do you sell tortoises OTHER THAN those you have personally bred yourself? | |
| Do you captive breed tortoises or turtles? If so please list species involved. If not, state 'No'. | |
| What species do you keep at present? | |
| What species are you applying to adopt? Be specific. | |
| Please describe your facilities in detail including indoor and outdoor accommodation. | |
| Please describe how you would keep these species and detail the type of diet you would use. | |
| Is there another Tortoise Trust member who could act as referee? |
Yes No |
| If answer above is 'Yes' please provide their name and postal town | |
| We often ask for photos of your facilities. Are you able to provide these? |
YES NO |