Complete this form, print and mail to:
FOTZ
Membership
635 SW Gage Blvd.
Topeka, KS
66606.
ALL MEMBERSHIPS ARE
NONREFUNDABLE
AND NONTRANSFERABLE
Type of membership:
Senior Citizen $25
Individual $35
Single Parent Family $45
Family $50
Special Friends $70
Zoo Buff $95
Super Zoo Buff $145
Baby-sitter option $15- This option is an additional fee
that will be added to a Single Parent Family or higher membership
fee.
Member Information:
Primary Adult -
First Name:
Last Name:
Secondary Adult - (needed for Family and higher memberships)
First Name:
Last Name:
Address:
City:
State:
ZIP:
Number of children/grandchildren, age 17 and under
Home Phone:
Work Phone:
Cell Phone:
E-mail:
I am purchasing the above membership as a gift (if so, please
fill out the gift giver information below).
Gift Giver Information (if applicable):
Names:
Address:
City:
State:
ZIP:
Home Phone:
Work Phone:
Cell Phone:
E-mail:
Send membership cards to:
Recipient
Giver
Send renewal notice to:
Recipient
Giver
A gift card will be enclosed with each membership.
Payment:
Please make checks payable to Friends of the Topeka Zoo. Your
cancelled check is your receipt.
Charge my:
Visa
Mastercard
Account #:
Exp Date:
Verification code:
The verification code is the last three digits that appear in the signature panel on the back of your credit card.
Signature:______________________________________