Koala Adoption Application SharePlease note: Due to the overwhelming response we have had, there will be a delay in getting your adoption package to you. We really appreciate your patience and will send your adoption package as soon as humanly possible. Which koala would you like to adopt?*You are able to purchase an adoption package as a GIFT on behalf of a friend or loved one!TriumphLaurenCharlotteButtersDimplesWild KoalaAbout Selected Koala Great choice! Triumph – is a very special boy, as he was born with only 3 feet. He’s a very affectionate, placid koala who is adored by all who come to visit. Great choice! Lauren – is a sassy, self-assured koala who doesn't tolerate any silly business or nonsense from anyone. She is a big sticky beak and is often seen whipping her roommates into shape! Great choice! Charlotte – is a gentle, adorable koala with a lovely personality. She is fairly quiet and reserved, preferring to hide in her Eucalyptus leaves and sleep all day. Great choice! Butters – is an adventurous, cheeky young joey who is full of beans. While in care he shared a run with 3 other female joeys and completely disturbed the peace - rumbling with all the girls and jumping around the run. Great choice! Dimples – is a gorgeous young joey who loves to eat! While in care she was lucky enough to meet Chris Hemsworth and became instantly famous around the world. Great choice! Wild Koala – This mum and bub are typical of the wonderful, healthy koalas we still have in the Region that we are fighting to save from extinction. Choose the Adoption Package that suits you*Adoption packages last for 12 months, after which you will be contacted with the opportunity to renew your adoption. Click on a package to see it's contents.Standard Adoption Package AUD$ 50.00Premium Adoption Package AUD$ 100.00Corporate Sponsorship AUD$ 250.00 100% emailed based Personalised adoption certificate Koala fact sheet – information about your chosen koala Subscription to our e-newsletter ‘Treetops’ 100% tax deductible Personalised adoption certificate Koala fact sheet – information about your chosen koala Subscription to our e-newsletter ‘Treetops’ Photo of your adopted koala Adopt a Koala Badge 100% tax deductible Personalised adoption certificate Koala fact sheet – information about your chosen koala Subscription to our e-newsletter ‘Treetops’ Photo of your adopted koala Annual subscription to Treetops magazine (2 per year) Video clip of your chosen koala – perfect for any social media platform! Online gallery acknowledgement 100% tax deductible Total (AUD$): $ 0.00 Name on Certificate*Name of adopting person or organisation to show on Certificate. If purchasing as a GIFT, enter the recipient's name here.Purchaser's DetailsYour Name:* First Last Your Email:* Your Phone Number:Delivery Address:* Street Address City / Suburb State / Province / Region Postal Code / ZIP Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Payment Method:*PayPalCredit CardDirect Debit For PayPal payments: After you SUBMIT this form, you will be taken to the PayPal website where you can make your payment using either your PayPal account or via Credit Card. For Credit Card payments: After you SUBMIT this form, you will be taken to the PayPal website where you can make your payment via Credit Card. Direct Debit to: Friends of the Koala Inc., BSB 728-728 A/C 22259364 Summerland Credit Union Ltd (use your SURNAME and “ADOPTION” as reference) Group Code:If this adoption is part of a group promotion please enter the group’s “promo code” below, otherwise leave blank.NameThis field is for validation purposes and should be left unchanged.