Adopt A Penguin

Application Form

By adopting a penguin you will help SANCCOB protect African Penguins. Your adoption fee helps cover the costs of rehabilitation so that the penguin can be released back to its natural environment.

As the proud owner of an African Penguin you will receive:

• A photograph of your penguin
• A personalised adoption certificate
• Quarterly copies of the SANCCOB newsletter
• An annual update on the status of the African penguin in general and a report on any sighting of your penguin.

Adopting a penguin is very simple. All you need to do is print this form, fill in your details and return it to us with your payment.

Company: ____________________________________________

First Name: ___________________________________________

Title: ________________________________________________

Surname: _____________________________________________

Id Number: ___________________________________________

Date of birth: __________________________________________

Address: ______________________________________________

City: _______________________________ Code: _____________

Country: ______________________________________________

Email: ________________________________________________

Cell: _____________________ Fax: ________________________

Tel (h): ___________________ Tel (w): _____________________

What name would you like your penguin to have? ______________

PAYMENT

You can either enclose a cheque / postal order payable to SANCCOB or pay directly into the SANCCOB bank account and return the deposit slip with you application form.

BANKING DETAILS

First National Bank, Tableview branch. Account number: 592 371 358 59, Branch code: 203 809

COSTS

Please return your application form to:

SANCCOB, PO Box 11-116, Bloubergrant, 7443, South Africa

For more information contact SANCCOB on (021) 557 6155 or email sanccob@netactive.co.za