JOIN ADOPT-A-DOLPHIN BELOW

This form gives you the option to join for yourself or for a gift, and whether to have a membership pack delivered (with mail costs) or emailed. Thank you so much for helping to protect our dolphins, whales and their environment.

Choose the Dolphin You wish to Adopt...(Required)

Your Adoption Details(Required)

For Myself

For a Gift

Please don't worry if you or the recipient of your gift, relies on or prefers to receive things by mail. Just provide the details and we will send it out.

Do you wish to have a membership pack mailed or main items sent as an email?(Required)

Please only send membership materials that can be emailed.

Please mail a membership pack ($13.95 postage is added).

Your Name(Required)

Title First Last

Your Email(Required)

Your Mobile(Required)

Landline

Address (if you wish us to mail a physical pack to you)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of your recipient(Required)

Title First Last

Email of Recipient (if possible)

Phone (If possible)

Address of recipient (if possible for newsletters)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your relationship to the recipient? (helpful in our correspendence)

Recipient's date of birth (helpful for enclosures if we send a pack)

Do you want the pack to be sent to you or the recipient?

To me

The recipient

Helpful if you would prefer us to send it to the recipient with a note from "Gandma" etc.

We invite Adopt members to renew their support on the 12-month anniversary. Would you like this to be sent to:

To me

The recipient

We will send it to the giver if you do not select an option.

Which Pack would you like for your gift?

Adult Pack

Junior (age 13 and under)

Hat colour and size for pack (L/XL fits adults. Adjustable by elastic pull)

Navy - L/XL

Light Blue - Sm/Med

Light Blue - L/XL

Adopt-A-Dolphin

Price:

Shipping

I wish to make an additional donation of

None

$10

$20

$50

How did you hear about the program?

Total

Dear supporter, when you select "submit" you will be transferred to PayPal. You will have an option to use your own card, without having a PayPal account. We use this process to ensure the security of your transaction.

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Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

DRI CHARITY STATUS | ALOGIN | PRIVACY POLICY | TERMS AND CONDITIONS

© 2022 Dolphin Research Institute. The Dolphin Research Institute is a Charity Registered with the Australian Charities and Not for Profit Commission.
Donations of $2 or more are Tax deductible.

JOIN ADOPT-A-DOLPHIN BELOW

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The Dolphin Research Institute