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Online Animal Sponsorship Form
Billing Information:
First Name *
Last Name *
Address *
City*
State*
Zip Code*
Shipping Information
same as billing.
First Name
Last Name
Address
City*
State*
Zip Code*
Contact Information
Email *
Daytime Phone *
Adoption Information
My Adopted Animal*
--Select--
--Mammals--
Agouti
Beaver
Bison
Bobcat
Capybara
Chinchilla
Chipmunk
Coatimundi
Cotton-top tamarin
Ferret
Gray Squirrel
Jaguar
Llama
Ocelot
Patagonian cavy
Prairie dog
Rabbit
Red wolf
River otter
Spectacled bear
Spider monkey
Titi monkey
Whitetail deer
--Retiles--
Alligator
Ball python
Boa constrictor
Box turtle
Diamondback terrapin
Gopher tortoise
Iguana
Painted turtle
Pinesnake
--Birds--
Andean goose
Bald eagle
Black-crowned night heron
Black-necked swan
Black-bellied whistling duck
Blue and yellow macaw
Bufflehead duck
Burrowing owl
Canvasback duck
Cattle egret
Chiloe wigeon
Emperor goose
Flamingo
Great Curassow
Great horned owl
Guira cuckoo
Mallard
Mandarin duck
Peacock
Peregrine falcon
Green winged macaw
Rhea
Ruddy duck
Sandhill crane
Saw-whet owl
Screech owl
Snow goose
Spectacled owl
Sun conure
Tundra swan
Vulture
Wild turkey
Wood duck
--Invertebrates--
Hissing cockroach
Tarantula
Tropical Millipede
Name as it appears on the Sponsorboard*
Payment Information
Name as it appears on the card *
Credit Card Type *
--Select--
Visa
Mastercard
Credit Card Number *
Expiration Date *
--Select--
01
02
03
04
05
06
07
08
09
10
11
12
--Select--
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
CCV Security Code *
Adoption Fees
Package
-Select-
$25 Wild Parent 1
$35 Wild Parent 2
$65 Wild Parent 3
$100 Wild Parent 4
$250 Wild Parent 5
Total
I would like to add an additional $5 to support wildlife conservation projects supported by the Salisbury Zoo.
Subtotal:
Total Charge to Card:
You will receive a confirmation email after you submit your order. If you do not receive this or have any questions please contact us at 410-548-3188.
I Authorize Salisbury Zoological Park to charge my credit card.