©Dennis Hicks, Sports Design, Inc.

Adoption Form

To adopt ducks, download this form, fill out the blanks and mail it with your payment to:
Omega Nu Ducky Derby
P.O.Box 1696
Santa Cruz, CA 95061
Name _______________________________________________________

Address _____________________________________________________

City ________________________________________________________

State ____________ Zip ___________________

Phone (______)__________________________

I want to adopt ___________ ducks at a donation of $5.00 each OR

___________ 6 ducks for $25 (1 free)

___________ 12 ducks for $50 (2 free)

___________ 25 ducks for $100 (5 free)

Adoption papers must be postmarked no later than April 20, 2008. A limited number of ducks will be available at the event.

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