Taxidermy Customer Intake Form
Please complete this intake form so the taxidermy service can review your specimen details, service needs, and handling instructions.
Customer Information
Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
*
Please Select
Phone
Email
Text Message
Other
Specimen Details
Species / Type
*
Common Name
Number of Specimens
*
Size / Approximate Dimensions
Current Condition / Preservation
*
Fresh
Frozen
Refrigerated
Preserved
Other
Notable Condition Issues
Service Requirements
Requested Service Type
*
Shoulder Mount
Life-Size Mount
European Skull Mount
Rug Mount
Pedestal Mount
Custom Service
Intended Display Use
*
Wall Mount
Pedestal Mount
Tabletop Display
Floor Display
Hanging Display
Other
Pose Preference
Please Select
Natural
Alert
Aggressive
Resting
In-Action
Custom Pose
Habitat or Base Preference
Please Select
Natural Habitat Base
Wood Base
Rock Base
Habitat Diorama
Minimal Base
No Base
Custom Base
Composition Type
*
Standard Composition
Custom Composition
Timeline and Handling Notes
Target Pickup Date
-
Month
-
Day
Year
Date
Intake Method
*
Please Select
In Person Drop-Off
Scheduled Pickup
Courier Delivery
Other
Special Handling Instructions
Additional Notes
Submit Intake
Should be Empty: