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Roaring Brook's Adopt-a-Raptor

Adoption Form
 

Gold Level $100

Bald Eagle
Barn Owl

 

Silver $75

Turkey Vulture
Red-tailed Hawk

 

Bronze $50

Barred Owl
Saw-whet Owl

 

Name:______________________________ Phone:(______)____________________

Address:_____________________________ Email:____________________________
 

Add a Gift for a Friend:

I want to adopt for my friend.....
 

Bald Eagle ($100)

Barn Owl ($100)

 
Red-tailed Hawk ($75)
Turkey Vulture ($75)

 
Barred Owl ($50)
Saw-whet Owl ($50)

 
 

My total adoption fee enclosed: $_________________

Payment:

Check (Please make checks payable to Roaring Brook Nature Center)
Credit Card (Master Card or VISA)

      Card Number:__________________________ Expiration:_____________

 

Mail to: Roaring Brook Nature Center, 70 Gracey Road, Canton, CT 06019

Thank you for your tax deductable donation to the Adopt-a-Raptor Program!