Friend of Hilary's Bird of Prey Hospital request form

Fields in bold type are required.

Friend information:

Name:

Address:

Postal or Zip code:

Country if not UK:

Daytime telephone number:

Email address:

Trust Membership number, if applicable:

Is this sponsorship for a special occasion (e.g. birthday or anniversary):

  Yes No

if so, please give details.

and date: 

Any other relevant information that you wish us to have:

The following details are for the plaque. Please specify exactly what you would wish to see on it.

Sponsored by or in memory of:

Name(s) on plaque:

Town or Country: 

The completed form will be sent to: The Sponsorship Secretary, The Hawk Conservancy Trust, Andover, Hants, SP11 8DY.

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Corporate Sponsors

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