Hedgerow Henporium Advert Booking Form
Use this form to upload and pay for each of your adverts. Your advert will show for a full calendar month and will then be deleted unless renewed.
Your Full Name
*
First Name
Last Name
Your Email
*
Confirmation Email
Phone Number for advert responses
*
-
Area Code
Phone Number
Name to be shown on advert
*
Details of Cockerel below:
For each bird you want to advertise, you will need to pay £2.50 and upload a picture for each. You don't need a Paypal account to use this secure payment facility
Breed of Cockerel
*
Name of Cockerel if any
eg Bertram.
Date of Birth of Cockerel
*
Please select a day
1
2
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Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Year
How much would you like for your cockerel
*
Put the price you would like here in whole pounds
Where are you located
*
Please select
Cheshire
Lancashire
Merseyside
North Wales
West Midlands
Wirral
Yorkshire
Other
Please Enter your County
Choose how many you wish to advertise at £2.50 per bird
*
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next
( X )
Advertise Cockerel
£
2.50
Quantity
1
2
3
4
5
6
7
8
9
10
Total
£
0.00
Upload a picture of your Cockerel. Pictures should be no larger than 1mb and be in .gif or .jpeg format
*
Click to browse your computer to upload a picture for each bird
Cancel
of
Submit
Should be Empty: