Majestic Waterfowl Sanctuary: Online Sponsor Form

Sponsorships are $25.00 for three months, calculated from the date sponsor payment is made via PayPal. After submitting this form you will be directed to a page where you can pay your sponsor fees via PayPal. If you want to pay by check or money order, please use our Printable Sponsor Form instead.

Your Name:
Your E-mail:
Telephone#:
Address:
Address:
City:
State:
Zip:
This is a renewal sponsorship; please do not send another Sponsorship Gift.
If you would like us to send a Sponsorship Gift, please provide the name and address of the recipient:
Same as above? Yes No Add a Luck Bottle? (add an extra $5.00) Yes No
Gift Recipient's Name:
Address:
Address:
City:
State:
Zip:
What name would you like listed on the Sponsor Hall of Fame page? Optional Additional Wording: In Memory of In Honor of Or: In Support of: Optional Gift Wording: A Gift From: Questions/Comments:


			Majestic Waterfowl Sanctuary, 17 Barker Road, Lebanon, CT, 06249
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