Adopt-a-Bird
The Avian Reconditioning Center / Adopt-a-Bird
P.O.Box 296
Apopka, FL 32704
 

 I want to adopt: 

 __________________________________________________ 

(Name of bird; please refer to our home page for a full list of adoption candidates.)

 Name: 

 __________________________________________________ 

(Your name as you want it to appear on adoption certificate.)

 Address: 

 __________________________________________________ 

 City, State, Zip: 

 __________________________________________________ 

 Phone: 

 __________________________________________________ 

 Gift for: 

 __________________________________________________ 

(Recipient's name as you want it to appear on adoption certificate.)

 Address: 

 __________________________________________________ 

 City, State, Zip: 

 __________________________________________________ 

 Phone: 

 __________________________________________________ 

 Card Message:  

 __________________________________________________ 

(Personalized message for enclosed gift card.)

 ____________

If this is a gift for a child, please give their age.

 __ 

 $35 

 Individual 

 __ 

 $500 

 Partner in Flight  

 __ 

 $50 

 Family 

 __ 

 $1,000 

 Avian Angel 

 __ 

 $100 

 Sponsor  

 __ 

 $250 

 Friend of the ARC           

 __ 

 $45 

 Bird Buddy Classroom Kit    

 PAYMENT OPTIONS 

 __ 

 Send check or money order (see address below)

 __ 

 Credit card payment (Visa, MasterCard, Discover, AMEX) 

 Card #: ___________________________________________ exp: ___/___ 

 Signature: ____________________________________________________ 

Print this form, fill it in, and mail with your check or money order to:
The Avian Reconditioning Center, Adopt-a-Bird, P.O.Box 296, Apopka, FL 32704
For more information, call 407-461-1056 or e-mail info@adoptabird.org.

Please allow 2-3 weeks for receipt of orders.

Click here to place your adoption securely on-line!

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