Required Fields are marked with an asterisk (*)
Billing Information:
Name:*
Address- line 1:*
Address - line 2:
City:*
State/Province:*
Zip Code:*
Telephone:
Shipping Information:
Name:
Address- line 1:
City:
State/Province:
Postal Code:
Gift Information:
Receiver's Name:
Choose Your Loon Adoption Preference*
Standard Lake ($39.50)
Adoption comes from prechosen lakes in various states.
Please choose from lake list and write in below
State Lake
Territory Sex
Download Lake List (MS Word, Text)
Custom Lake ($55.00)
Adoption comes from a larger selection of loons from 3 states.
Check lake list to see if we have a particular lake you are looking for.
Number of adoptions requested:*
Total amount *Please add $3.00 shipping and handling cost for one packet, $3.50 shipping for more than one packet.
Payment Options/Instructions:
Please select payment method: Credit Card Check
Credit Card - simply fill in the form.
Card Type American Express Discover Visa Master Card
Name on Card:
Card Number:
Expiration Date:
How did you hear about "Adopt-a-Loon"?
Check - after completing all the required fields on the order form, print it out and mail it along with your check for the appropriate amount (including applicable S/H charges) made payable to:
BioDiversity Research Institute
19 Flaggy Meadow Road
Gorham, ME 04038
Phone - call our Toll Free number: 1-888-749-LOON (5666), and we'll do the rest!
Orders usually ship within 7-10 days from the date we receive your order