Heeley City Farm Bronze Animal Sponsorship Form
Name of Applicant
Address
Contact Phone Number
email address
Name to appear on Certificate and address for correspondence (if different from above).
Name and Type of Animal
Level of Sponsorship

Bronze £10 Silver £20 Gold £30
Sponsorship Start Date
If sponsorship is to be in the name of a child, please specify age and name. Please Note that applicants must be 18 years of age or over. Under 18s require a letter of consent from their parent/carer.
If you would prefer to opt out of Sponsor's Roll of Honour please specify
Would you like to join our mailing list?
DISCLAIMER

Heeley City Farm retains its rights of ownership of the animal(s) you have sponsored and any issue. Should your animal unfortunately pass away or leave the farm for reasons beyond our control, your donation will be used to support other animals.
Please confirm that the information you have provided on this form is correct, and that you have read and agree to the Terms and Conditions of Animal Sponsorship (Disclaimer)

YES NO
If you would like to add a message, or require further information, please use this box. Thank you for your support
Should be Empty:

Heeley City Farm Bronze Animal Sponsorship Form