Annual Membership Application

Complete the following form to become a member of Central Florida Zoo. Print the form and mail it along with payment to:

Central Florida Zoological Society, Inc.
Attn: Membership Office
P.O. Box 470309
Lake Monroe, FL 32747-0309

Which Membership Level is right for you?

$35 Single
$40 Senior Plus One adult over 60 & one guest
$50 Single Plus One adult & one guest
$60 Family* Two adults & their children under age 18++
$60 Grandparent* Two adults & grandchildren under age 18++
$100 Voting Family benefits plus two guests
$500 Patron Exclusive Conservation Circle Benefits
$1000 Benefactor Exclusive Conservation Circle Benefits

Date:
New Renewal Gift
Adult Names (2) **
Mailing Address:
City:
State:
Zip:
Daytime Phone:
Email:
Number of Children:	++
Employer: (Matching Gifts Program)
How did you hear about Zoo Membership?
Amount Enclosed:
Payment Option:	check MasterCard/Visa Discover ($1.00 processing fee will be added on Discover Card)
Credit Card #:
CID (customer ID number):	(3 digits located on back of credit card)
Expiration Date:	(__/__)
Signature:
I want to help support these programs at the Central Florida Zoological Park with an additional tax deductible donation of:
$	Adopt an Animal
$	Annual Fund Contribution - For animal acquisition and care, daily Zoo operations, and much more.
$	Species Survival Plan© - Support of American Zoo and Aquarium Association conservation programs

Memberships above $100 receive exclusive benefits.

For more information: please contact the Membership Office at
407-323-4450, extension 100

Mail to: Central Florida Zoological Society, Inc.
Attn: Membership Office
P.O. Box 470309
Lake Monroe, FL 32747-0309

E-mail: membership@centralfloridazoo.org

*Family/Grandparent memberships are for two generations only, one of which must be minors.
**Only the two adults listed on card are entitled to admission benefits. Other adults/guests will be asked to pay full-fare admission.

++ Up to 6 children/grandchildren included per family/grandparent membership additional children are $15 each. Please contact the Zoo at 407.323.4450, ext. 100 for additional children.

THANK YOU