The Ann van Dyk
Cheetah Centre
A d o p t i o n Fo r m
[email protected]
The mission of The Ann van Dyk Cheetah Centre is to ensure the long term survival of Cheetahs alongside
other endangered species. All funds from the adoption programme go towards the general medical expenses of
all our animals and we could not continue the work we do in conservation without your generosity.
Please tick the box of the animal you would like to adopt and the level of adoption
Cheetah
Caracal
Blue Crane
Wild Dog
Meerkat
Egyptian Vulture
Honey Badger
Serval
Cape Griffon Vultures
Levels and Benefits of adoptions
Please note: All certificates, photographs, and newsletters are e-mailed. Should a tour be taken with the adoption, the first
payment should not be less than the tour price. Please understand we might have to relocate animals when required.
Silver
R600 per year
Certificate of recognition Photograph of your adopted animal
Information booklet
Updates via email during the year
1 x Cheetah Run & Tour on our annual open day for 2 pax
Gold
R1200 per year / r100 per month
Certificate of recognition Photograph of your adopted animal
Information booklet
Updates via email during the year
1 x visit during an open day tour on a specific date
1 visit to our Cheetah Run for 2 pax.
Platinum
R3600 per year / r300 per month
Certificate of recognition Photograph of your adopted animal
Information booklet
Updates via email during the year
1 x 30 minute walking visit per year
1 x visit to our Cheetah Run for 4pax.
Diamond
R4800 per year / r400 per month
Certificate of recognition Photograph of your adopted animal
Information booklet
Updates via email during the year
1 x organized visit per year including a Cheetah Run & Tour for 2 pax
Tanzanite
R6000 per year / r500 per month
Certificate of recognition Photograph of your adopted animal
Information booklet
Updates via email during the year
1 x organized visit per year including a Cheetah Run & Tour for 2 pax
1 x special behind the scenes early morning feeding tour per year
Sponsor’s Details
Name:
Surname:
Name on Certificate:
Cell Phone:
E-mail address:
@
Method of Payment
Cash
Direct deposit / electronic funds transfer
STANDARD BANK BRITS ACCOUNT NR: 370 952 766
BRANCH CODE: 052 546 S.W.I.F.T. CODE: SBZA ZA JJ
As reference , please use your name and adoption level
Credit Card Payment (Please note we do not accept AMEX)
Name of Card Holder:
Card Nr:
/
Expiry Date: CVC Nr:
I
hereby authorize
The Ann van Dyk Cheetah Centre to deduct the amount of R
Once
Every month on the 1st day of the month from my credit card.
Date:
Signature:
OFFICE USE
D
C
P
N
Application received by:
Animal allocated: