Postal Address..........................................................................................................................
............................................................................Post code(Zip code)......................................

Please send me a T-shirt: small/medium/large/extra large
or
Please send me a T-shirt suitable for a child aged: .........................
(Delete inappropriate)

I would like to foster..............................................................................(Name of hippo)
I am enclosing my one year contribution of £35 UK or US $60 or R200 by Cheque/Traveller's Cheque. Please make the Cheque payable to Turgwe Hippo Trust, printing your name on the back. (If more than one person wishes to foster a hippo please add a separate sheet of paper with the relevant details).

Important: Please include your phone number or e-mail address for courier purposes.
Phone number/E-mail: (   )_____________________

WE THANK YOU IN ADVANCE FOR YOUR SUPPORT

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