GUARDIANSHIP APPLICATION FORM

NAME:                                   ___________________________________________

PHYSICAL ADDRESS:        ____________________________________________

TELEPHONE:                      ____________________________________________

FAX:                                       ____________________________________________

EMAIL:                                  ____________________________________________

PROFESSION:                      ____________________________________________

 

I _____________________________________ would like to make an application to

foster ______________________________ (orphaned chimpanzee at Ngamba).  I

commit to yearly support __________________________________ with/by ______________________.

 

In return the management of Ngamba Island Chimpanzee Sanctuary will provide a photograph and profile of the chimpanzee and, bi annual update of stories about the chimpanzee.

 

 

Signed:

Foster Parent _________________   Date:  ______________________

Follow link to make your donation; http://www.friendsofchimps.org/donate

 

Thank you for your support