Alternative Sanctuary Adoption Form

The Alternative Animal Sanctuary, Windmill Road, Pepperstock, Luton, Beds LU1 4LQ
TEL: (01582) 841 829
email: info@alternativesanctuary.co.uk
www.alternativesanctuary.co.uk

Once you have decided what animal you would like to sponsor fill out the form, Print it and return it to the above address.

Please provide the following information:

 

Title

Minimum Annual Sponsorship Cost

First Name Horses - £24 Pigs ---- £12
Last Name Goats -- £12 Dogs --- £12
Street Address Cats ---- £12 Turkey - £6
Address (cont.) Chickens £6 Ducks -- £6
City Pigeons - £6 Rabbits  £3
State/Province Hamsters £3 Gerbils- £3
Zip/Postal Code Rat -------£3 Degus -- £3
Country Terrapins £3 Fish ---- £1
E-mail
Date Of Birth

Name of the Animal you wish to sponsor

Animal's Name

The amount you wish to pay (cheques made payable to the Alternative Sanctuary)

I wish to pay £

If this is a gift please fill in the recipients details

Title
First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Date Of Birth

Please Print this form and send it with your cheque (payable to) The Alternative Sanctuary: 

The Alternative Animal Sanctuary, Windmill Road, Pepperstock, Luton, Beds LU1 4LQ
TEL: (01582) 841 829
email: info@alternativesanctuary.co.uk
www.alternativeanimalsanctuary.co.uk