The IBR - Bird Registration Form...

Step 1 of 2: Submit

ENTER ALL REQUIRED DETAILS PLEASE - OR TYPE "NOT KNOWN" - AND REMEMBER TO PAY WITH PAYPAL WHEN YOU HAVE SUBMITTED THIS FORM. Thank You.

IBR Keeper ID (If known)

YOUR DETAILS (All sections must be completed)

Full Name Address Postcode Tel No. Email Address

BIRD DETAILS

Species

Is The Bird Wearing A Ring Yes (WE NEED THIS NUMBER!) No

Breeder's Ring No. (Please give all LETTERS and NUMBERS) IBR Ring No. IBR Split Ring (If required) IBR ID - If Known Microchip No. - If Applicable Article 10 No. - If Applicable

ORIGIN

Choose .... Captive Bred Imported Wild Disabled Other

Hatch Date Acquired Date Sex Pet Name of Bird Male Parent Ring No. Female Parent Ring No. Breeders Details

I confirm that the above information is correct and that I am the legal keeper of the above bird.

Check box to confirm I Agree

PAYMENT

Choose Registration period Register for 1 Year (£6.50 GBP) Register for 2 Year (£12.00 GBP) Register for 3 Year (£18.00 GBP)