Application Form

Customers care about the source of your product ingredients. Show your love for emu by adding our beautiful Ethically Sourced Seal to your emu oil and value added products. An annual donation for the use of our Ethically Sourced Seal supports emu rescue, education and resources for emu owners, farmers and emu in need of rehoming. Please fill out our form and we'll contact you within 2 business days.

Name

First Name

Last Name

Phone

(###)

###

####

Business Name

Address

Website URL

Social Media Links (if you have them)

Do You Raise Emu?

Number of Birds:

Number of Acres:

Type of Feed:

Do Your Emu Have Access to Fresh Forage?

Number of Emu Per Pen:

Pen Dimensions:

Do you process your birds? If not where are they processed?

Do your emu have shelter from the elements and predators? Please Explain:

Do your emu receive Veterinary care?

Are your emu vaccinated for mosquito borne illnesses?

Are your emu wormed regularly?

How long have you been raising emu?

If you purchase your emu oil to make value added products, is the emu oil sourced in the USA?

Please list the products you sell:

If you sell emu oil based cosmetic products, are they tested on animals?

If you do not raise emu and are selling emu based products, are your emu products USA sourced?

If your emu products are not USA sourced where do they come from?

Do you test your products on animals?

If you do not raise emu, but do sell emu products, please list the products you sell:

Application Form

Emu House Inc.