PROJECT ADOPTION APPLICATION

Choice of peregrine:
I would like to adopt _______________________ (name of peregrine)

 

  Adoption Certificate [   ] ($25 CDN)  

 

Orders may be faxed to (416) 481-7158 and will be shipped on arrival of cheque or money order by post.

[   ] Cheque or Money Order enclosed for $______. (Please make payable to The Canadian Peregrine Foundation)
C.O.D.'s will not be processed.

If you would like your adoption to serve us a gift, please fill out the "Send to" section below
(please note: all items will be sent directly to the recipient unless you request otherwise).

Requested by:

[ ] Mr.   [ ] Mrs.   [ ] Ms.    [ ] Miss.
Name:_____________________________________
Address:___________________________________
City: ______________________________________
Province/State: ______  Postal/Zip code:___________
Phone Number: (____) ____-___________________
E-Mail:____________________________________

Send to (if different):

[ ] Mr.   [ ] Mrs.   [ ] Ms.    [ ] Miss.
Name:_____________________________________
Address:___________________________________
City: ______________________________________
Province/State: ______  Postal/Zip code:___________
Phone Number: (____) ____-___________________
E-Mail:____________________________________

Mail to:
Canadian Peregrine Foundation

Project Adoption
250 Merton Street, Suite 404
Toronto ON M4S 1B1

CANADA

Canadian Peregrine Foundation