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Request Form for Plant Adoption (Patron)
I wish to adopt a plant for one year as 'Patron'.
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* Indicates required question
Email
*
Your email
Title
*
Ms.
Mr.
Family name
*
Your answer
Name
*
Your answer
Address (street, number)
*
Your answer
Postal code
*
Your answer
Municipality
*
Your answer
Telephone number
Your answer
Chosen Adoption option
*
I adopt a plant as 'Patron' (500 EUR)
Select your plant for the 'Protector' option
*
Xanthorrhoea glauca (Australian grass tree)
Clavija cauliflora (for this plant species there is no name in English)
Encephalartos laurentianus (kwango giant cycad)
Amorphophallus tItanum (titan arum)
Victoria cruziana (giant water lily)
European Regulation on the Protection of Personal Data
By sending this request form you agree with the privacy policy of Meise Botanic Garden.
*
I agree with the processing of my personal data as stated in the privacy policy of Meise Botanic Garden, in which I am correctly informed on my right of privacy. The privacy policy can be found on the homepage of our website in the terms of use (
https://www.plantentuinmeise.be/en/informatie/Disclaimer
).
A copy of your responses will be emailed to the address you provided.
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