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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!"
"Animals of Turpentine Creek" Limited Edition, Signed Prints
Your Name & Mailing Address --
Name:________________________________________________
Address:______________________________________________
_____________________________________________________
City:________________________________ State:_____ Zip:_______
Email Address:_________________________________ (Our Preferred Method)
Phone:(_____)______--___________ Fax:(_____)______--___________
Select the Limited Edition Prints You Wish to Order:
Prints Available for Purchase   Quantity of Prints Desired
"Vada - Black Leopard":    _____________
"Donna - Bengal Tiger":    _____________

Total Number of Prints being ordered at $25.00 per print: __________

Total Amount Enclosed with order: $________._____

Date:____________________
Check or Money Order Number: _________________

Authorized Signature:_______________________________________
Mail this Form and your payment to: Turpentine Creek Refuge & Foundation
239 Turpentine Creek Lane
Eureka Springs, AR 72632
Or Fax this Form & Your Check to: 1- 501-253-5059

Thanks for Your Support!

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