Name :
Address :
Email:
Date:
Gibbon Name: A001 Bubu A002 Mary A003 Bam Bam A004 George A005 max A006 Rumthai A007 Tam A008 Endoo A009 O A010 Mee A011 Jojo A012 Songkran A013 Muki A014 Dongrak A015 Roberta A016 Sam A017 Jorn
Please indicate the period you want to be an associate:
Period : 1 year : 1,800 baht/ 50 USD 2 year : 3,500 baht/ 93 USD 5 year : 8,500 baht/ 225 USD
T-Shirt ID : T001 Big Logo T002 Born To be Free T003 Small Logo T004 Set me Free T005 Family T006 Hanging T007 Polo Shirts
Size : S M L XL
Colour : Black White Red Blue Yellow Gray Green
Method of payment: We ask that these amounts be paid preferably by bank transfer. Then please send fax a copy of your bank transaction and Gibbon Adoption form to fax number +66 76 260491 or email to adoption@gibbonproject.org . Regarding gibbon adoption programme
Bank transfer details: Account name: Wild Animal Rescue Foundation of Thailand Account number: 573-0-158143 Bangkok Bank, Talang Branch Phuket 83110 Thailand SWIFT code: BKKBTHBK
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