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Blue
Ridge Adopt-An-Animal Program
Purchaser information:
Name:_______________________________________
Address:_____________________________________
City:_________________ State:______ Zip:________
Phone:____________ Email:______________________
Animal Choice (name):___________________________
Contribution Level:_______________ Amount: $______
Payment: __Check Enclosed __Credit Card
(Visa, MasterCard-please circle one)
Card #:______________________________________
Expiration Date:_______ Signature:________________
Recipient information (if giving a gift
adoption):
Name:________________________________________
Address:______________________________________
City:__________________ State:_____ Zip:_________
Phone:____________ Email:______________________
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Julio, California Mountain
Kingsnake
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Copperhead 1 & 2*
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Painted Turtle*
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Red Eared Slider 1 &
2*
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Dia, Red Eared Slider
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Yellow Bellied Slider 1
& 2*
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River Cooter Turtle*
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Black Rat Snake*
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Yellow Rat Snake*
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Carolina, Pink Corn Snake
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Grey Corn Snake*
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King Snake*
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Panzer, Snapping Turtle
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Brewster, Box Turtle
* Be the first to sponsor
an unnamed Nature Center critter and you name it!
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