| Turpentine Creek Foundation, Inc. Turpentine Creek Wildlife Refuge A USDA Licensed Facility for "The Vanishing Breeds of Big Cats" "We are worth Saving!" |
| 1999 SPONSORSHIP REGISTRATION/RENEWAL FORM |
| Your Name & Mailing Address | ||
| Name:____________________________________________________________ | ||
| Address:__________________________________________________________
__________________________________________________________________ |
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| City:_________________ | State:_________________ | Zip:_________________ |
| Email Address:_________________________________(Our Preferred Method) | |
| Phone:(____)____--________ | Fax:(____)____--________ |
| Please List Family Members That Will be Sharing This Sponsorship. | |
| Family Members | Birth Dates |
| ______________________________ | ______________________________ |
| ______________________________ | ______________________________ |
| ______________________________ | ______________________________ |
| ______________________________ | ______________________________ |
| ______________________________ | ______________________________ |
I would like to sponsor _____________________________________ for 1998. |
||
Paid: $__________ |
Date: ___________ |
Check or Credit Card No.#:_______________________ |
Authorized Signature:____________________________________________ |
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| Mail
this Registration Form page along with your payment to: |
Turpentine Creek Wildlife Refuge & Foundation 239 Turpentine Creek Lane Eureka Springs, AR 72632 |
| Each sponsor receives a laminated biography, a yearly membership, and their names listed on a sign posted on the sponsored animal's cage. | |