ZOO MEMBERSHIP REGISTRATION FORM A SIMPLE PHRASE THAT SAYS IT ALL
Choose one:
You are invited to become wildly connected to the Birmingham Zoo with an annual membership. This is the perfect way to show your support and enjoy special privileges. By joining, you are ensuring the future of endangered animals while furthering the Zoo’s mission to promote education, conservation, research and community involvement.
BASIC MEMBERSHIP Levels 1 YEAR
INDIVIDUAL
1 named adult
$
PLUS 1
2 named adults in the same household OR 1 named adult and 1 guest
$
FAMILY
2 parents and household children ages 2-17 (both named adults OR 1 named adult and 1 guest)
$
2 grandparents and grandchildren GRANDPARENTS ages 2-17 (both named adults OR 1 named adult and 1 guest)
$
FAMILY CIRCLE
50
$
80
$
80
140
120
$
220
120
$
220
❑ Individual
❑ Plus 1
❑ Family or Grandparents
❑ Keeper’s Club
❑ Curator’s Club
❑ Director’s Club
❑ Family Circle
Name(s): ___________________________________________________________________________________________ __________________________________________________________
Number of Children: ______________
City: ____________________________ State:
Phone Number:__________________________________________ Email Address:
_______
Zip:
_______________
_______________________________________________________________
❑ I want to “Go Green” and receive Animal Tracks electronically. Renewal notices, offers, and invitations are sent via email. ❑ I would like to make an additional gift to support the Asian Passage Exhibit and Entrance Plaza in the amount of $__________.
Optional Add a Caregiver ❑ Add 1 Caregiver: $30/60 (2yr)
❑ Add 2 Caregivers: $40/80 (2yr)
❑ Add 3 Caregivers: $50/100 (2yr)
Caregivers must be named to bring the children on your behalf. Please list caregiver’s name(s) if purchased: NAME OF CAREGIVER 1 NAME OF CAREGIVER 2 NAME OF CAREGIVER 3 ____________________________________________
____________________________________________
____________________________________________
Add a Guest ❑ Add 1 Unnamed Guest: $30/60 (2yr) One unnamed guest may attend with any member. Is this a Gift Membership?
Family benefits (see above) plus two guests or caregivers
180
$
340
$
❑ Yes
❑ No
If YES, please complete the following:
Recipient Name: ___________________________________________________________________________________________________________________________
Join at the Patron Level and become part of a prestigious group that offers significant support to the Birmingham Zoo.
PATRON MEMBERSHIP Levels 1 YEAR
2 YEAR
300
$
Family Circle benefits plus an exclusive behind-the-scenes tour and dinner with fellow Zoo members and the Zoo’s expert keepers
$
CURATOR’S CLUB
Keeper’s Club benefits plus a behind-the-scenes tour with the Curators
$
DIRECTOR’S CLUB
Curator’s Club benefits plus 2 tickets to ZooGala
KEEPER’S CLUB
❑ Two-Year Membership
Choose one Membership Level:
Address: 2 YEAR
❑ One-Year Membership
Address:
__________________________________________________________
Send Package to:
500 $1,000
1,200 $2,400
$
_______
Zip:
_______________
❑ Gift Recipient
Payment Information: Total Amount: $
600
❑ Me
City: ____________________________ State:
_________________________________________
❑ CASH
❑ CHECK
CREDIT CARD:
❑ Visa
Credit Card Number:
❑ MasterCard
❑ American Express
❑ Discover
__________________________________________________________________________
Name on Card:__________________________________________________ Cardholder Signature:
Please make checks payable to: Birmingham Zoo Mail or deliver to: Birmingham Zoo, Attn: Membership 2630 Cahaba Road • Birmingham, AL 35223
Expiration Date:
______________________ /
________________________________________________
For more information, please call 205.397.3876 or visit birminghamzoo.com
