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Name:
Please provide the first line of your STREET ADDRESS
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 is familiar with you who could act as a referee?	YES NO
We often ask for photos of your facilities. Are you able to provide these?	YES NO