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. (This allows a baby sitter to bring the card
holder's children to the zoo only when the cardholder(s) are unable to
attend.)
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
(maximum of 5 allowed per
membership)
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:______________________________________