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Park Pal Order Form
Park Pal Options

Please review details to select a sponsorship or membership type here

Please note, "VIP Level" sponsorships include all Park Pal member benefits (at Family or Grandparent level), plus additional gifts or recognition options.

 

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Do you wish to decline membership benefits and put 100% of your dollars to work for the animals?
Bill-to Contact Details
Provide contact details for the person who will submit payment for this purchase.

First Name
Last Name

Address Line 1
Address Line 2
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State/Province
ZIP/Postal Code
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Member Contact Info
Provide contact detail for the primary individual to receive benefits of Park Pal sponsorship or membership. This is the person we will send packet to and in whose name membership will be recorded.

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

Privacy Policy

You may review our Privacy Policy here.

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By choosing yes, you "opt in" to receive occasional e-mail updates from Black Pine ONLY.