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Turpentine Creek Foundation, Inc.
Turpentine Creek Wildlife Refuge
A USDA Licensed Facility for "The Vanishing Breeds of Big Cats"

"We are worth Saving!"
"Fence-A-Thon" Donation Form
Your Name & Mailing Address
Name:_________________________________________________________
Address:_______________________________________________________
______________________________________________________________
City:________________ State:________________ Zip:________________
Email Address:_________________________________  (Our Preferred Method)
Phone:(____)____--________ Fax:(____)____--________


I am making a donation in the amount of: $__________.

Date: ___________
Check No.: _________
Credit Card: Please Circle One --
   (VISA)     (MASTERCARD)
        (DISCOVER)    (AMEX)		 Card Number: ________________________
Expiration Date: ______________________

Authorized Signature:____________________________________________
Mail this Adoption Form page
along with your payment to:
Turpentine Creek Wildlife Refuge & Foundation
239 Turpentine Creek Lane
Eureka Springs, AR 72632

Thanks for Your Support!

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