Dung beetle order form
Please provide as many details as possible, so we can determine the best option for you.
For inquiries only please phone Shaun on 021 040 8685 or email shaun@dungbeetles.co.nz 
Sign in to Google to save your progress. Learn more
Name *
Company name
Email *
Phone *
Delivery address *
Release address if different to delivery address
Region
Select your dung beetle package *
If you selected Multiple Four-Seasons Packages (FSPs). How many FSPs, or answer not yet sure.
Catchment Partnership Programme
Clear selection
Farm area (ha)
Stock Type (select one or more)
Total Stock Units or number of stock
Farm Type
Annual rainfall (mm)
Where did you hear about us?
Farmlands co-operative shareholder number
Captionless Image
Terms and Conditions *
Required
Comment
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.