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Adopt a Raptor
Adopt a Raptor
Registration
This adoption is for
*
Myself
Gift
Gift Recipient's Contact Information
Gift Recipient's Name
*
First
Last
First Name
Gift Recipient's Address
*
Street Address
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Gift Recipient's Phone
*
Gift Recipient's Email
*
Contact Information
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Adoption Levels & Benefits
$50 Level
$75 Level
$100 Level
$1000 Level
$5000 Level
$50 Level
Picture of individual you wish to adopt, and certificate of adoption
Name on website
Participate in one of the four scheduled raptor photo days
$75 Level
Picture of individual you wish to adopt, and certificate of adoption
Name on website
Participate in one of the four scheduled raptor photo days
One-year membership to CBEC
$100 Level
Picture of individual you wish to adopt, and certificate of adoption
Name on website
Participate in one of the four scheduled raptor photo days
One-year membership to CBEC
T-shirt
$1000 Level
Picture of individual you wish to adopt, and certificate of adoption
Name on website
Participate in one of the four scheduled raptor photo days
One-year membership to CBEC
T-shirt
One educational raptor program with live birds, presented to a private group (maximum 30 people)
$5,000 Level
Picture of individual you wish to adopt, and certificate of adoption
Name on website
Participate in one of the four scheduled raptor photo days
One-year membership to CBEC
T-shirt
One educational raptor program with live birds presented to a private group (maximum 30 people)
Plaque on coop, with naming rights of coop
Please choose your raptor(s) and adoption level
Barred Owl
Barred Owl
$50
$75
$100
$1,000
$5,000
Great Horned Owl
Great Horned Owl
$50
$75
$100
$1,000
$5,000
Red-tailed Hawk
Red-tailed Hawk
$50
$75
$100
$1,000
$5,000
Eastern Screech Owl
Eastern Screech Owl
$50
$75
$100
$1,000
$5,000
Please choose your photo date.
Photo Date
I am interested in having my photo taken with my raptor. Please contact me when dates are scheduled.
Dates to be scheduled for 2019. Adoptors will be able to choose from 4 dates.
Please choose your tee shirt size if applicable.
Tee Shirt Size (adult sizes only)
S
M
L
XL
Opt Out of Benefits
Yes, I would like to opt out of benefits
I would prefer my donation money to be used solely for the raptors, and would not like any gifts in return.
Total
$0.00
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