Jane Goodall Institute









Adoption Application Form

Chimpanzee Adoptions

You can help by becoming a Chimpanzee Guardian
When you adopt an orphan chimpanzee you will receive:

  • A colour photograph and the complete life-story of your chimp
  • An adoption certificate signed by Dr Jane Goodall
  • A large colour poster
  • A fact-pack full of information on chimpanzees and JGI's Tchimpounga Sanctuary in the Congo
  • Yearly updates on your chimp
Above all, you will know you are making a difference!
Start Today

Chimpanzee's Name:

Kauka
Timi
Yoko
Petit Prince
Gregoire
Choose one for me

Please select type of adoption.
Child Guardian: £25.00 pa
Adult Guardian: £35.00 pa
Group Guardian: £35.00 pa
Please send me more information about JGI-UK:
Please enter here details of the person making payment.
First/Surname:
E-Mail:
Street Address:
City, County, Postcode: ,
Country:
Phone:
Fax:
WARNING - This form is NOT secure. If you do not wish to send your credit card details over the Internet, please print out this form and send it with a cheque or card details to the address below.
Please debit my credit card number: Exp: (mm/yy)
Total amount: £
Details of person/people to receive the adoption.
Tick if same as person making payment:
Name to Appear on Adoption certificate:
First/Surname:
E-Mail:
Street Address:
City, County, Postcode: ,
Country:
Phone:
Fax:
Other comments:
Please make cheques payable to The Jane Goodall Institute UK
and send this form to:
  • The Jane Goodall Institute UK
    Orchard House
    51-67 Commercial Road
    Southampton SO15 1GG
  • Reg. Charity No. 327858
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