If you are ready for a flock of Durham Region’s finest purple flamingos to show up at your door, please complete this form and fax it to (905) 430-3080 or email it to firstname.lastname@example.org. A donation (Corporate/Business: $300.00, Residential: $75.00) is required to send the flock on its way. A local Flamingo Shepherd will contact you for confirmation. (Printable PDF Version Click Here)
Donation payment may be made by cheque (payable to Epilepsy Durham Region). Payment must be received one week prior to the scheduled flocking date.