Please print this form and mail with tax-deductible check to:

KALB, Duck Adoptions, P.O. Box 1089, Athens, AL 35612

Keep Athens-Limestone Beautiful

DUCK ADOPTION CERTIFICATE

To adopt duck(s), print, complete, and mail this form with check or money order to: 
KALB, Duck Race, PO Box 1089, Athens, AL  35612
You may also drop this form off at the KALB office located at 125 East St. (behind duck pond in College Inn)

NAME___________________________________________________ PHONE_____________________

ADDRESS_______________________________________CITY_______________ST_____ZIP________

EMAIL________________________________________________________________________________

[  ]   I wish to adopt #_______ rubber duck(s) for a donation of $5 per duck for a total of $__________.

[  ]   I wish to adopt #_______ Club House Quack Pack(s) of five (5) ducks for a donation of $25
        each for a total of $___________.  For each pack adopted, you will receive a sixth duck FREE and a FREE gift
           from The Club House restaurant on the square!

Have some fun and name your ducks!  (Only name the number of ducks you adopt.  Naming your ducks in NOT REQUIRED.)

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__FREE DUCK (if 5 purchased)___________    _______________            __FREE DUCK (if 5 purchased) __________     _______________