CENTER FOR OCEANIC RESEARCH & EDUCATION

WHALE ADOPTION  & GIFT FORM



Your Name ____________________________________________________________________

Address ______________________________________________________________________

City                                                                                 State                              Zip                       

PLEASE CHOOSE WHICH WHALE YOU WISH TO ADOPT: 

SHARK                        BADGE                          OWL                          SOCKEYE                       

If this adoption is a gift, whom is the recipient?


Name ____________________________________________________________________

If you wish us to send the gift adoption directly to the recipient
please fill out the following recipient information:


Address ______________________________________________________________________

City                                                                                 State                              Zip                       

Whale Adoption fee is $25.00

MERCHANDISE SECTION
(click on item to view)

QTY CLOTHING TYPE
  T-shirts w/logo (M, L or XL)      $12 each          M         L         XL
  Sweatshirts w/logo (L or XL)     $30 each           L           XL

Hats w/logo (Blue or Green)       $16  each           Blue         Green
QTY OTHER GOODIES
  Pins & Magnets (w/logo)      $2 each
  Embroidered Patches (w/logo) $6 each

Please include  $5 for shipping & handling with all clothing orders
Please send this completed form, with your check to:
CORE  245 Western Ave, Box 8 Essex, Ma 01929