Name: _______________________________________________________________

Address: _____________________________________________________________

City State Zip: _________________________________________________________

Phone: ____________________ Email: _____________________________________

Given in Honor or Memory of: ____________________________________________

Please donate kit(s) to: _________________________________________________
Teacher, Grade, and School

I want to be a part of the Adopt-A-Class Project.

I will sponsor ______ class(es) at $41.50/class.

Or ______ I am unable to sponsor a class, but still want to help.

Enclosed is my check for $____________.

Please make checks payable to Sycamore Audubon Society, and send to:
Sycamore Audubon Society
PO Box 2716
West Lafayette, IN 47996