SPONSORSHIP APPLICATION FORM |
| Name: | | | Surname: | | | Date: | | | Company Name: | | | Physical Address: | | | | | | Postal Address: | | | | | | Tel: (h) | | | Tel: (w) | | | Fax: | | | Cell No: | | | E-mail: | | | Category A | | | Category B1 | | Category B2
| | | Category C | | | ANIMAL TO BE SPONSORED: | | | ANIMAL'S NAME: | | | SPONSOR FEE: | |
BANK ACCOUNTANT DETAILS | FIRST NATIONAL BANK, CARLSWALD | ACCOUNT NUMBER: 6204 652 4288 | BRANCH CODE: 250 117 | CHEQUES TO BE MADE OUT TO: LORY PARK ZOO | The sponsorship process will not be activated until full payment is received |
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