Kilimanjaro Climb Registration Form

Please print out this form and mail it to the below address.

In order to maintain the trip’s high standards, the climb will be limited to 15 people. If you are certain that you would like to join the adventure, please return this form at  your earliest convenience. If you are interested in making the climb and would like assistance in acquiring sponsorship, please let us know as soon as possible.

___ Please reserve ____ places on the Kilimanjaro Climb.

    I will be sponsored by

    ___ Self ____ Other _________________

___ I would like to joint the Kilimanjaro climb. Please contact me about possible sponsorship assistance.

___ I’m interested in learning more about the Kilimanjaro climb. Please contact me at the address below.

___ I’m interested in learning more about the Amboseli Trust for Elephants. Please send a brochure to the address below.

 

Name: _________________________

 

Address: ______________________

 ______________________________

 ______________________________

 Phone: _______________________

 E-mail: _______________________

Please mail to

Amboseli Trust for Elephants
10 State Street
Newburyport, MA 01950
U.S.A.