DAY PASSES - Gladys Porter Zoo

By Fax:
IT’S EASY TO ORDER!
By Mail:
By Phone:
(956) 541-4940
Send your completed order
form via fax 24 hours a day,
7 days a week.
Send your completed order form to:
Gladys Porter Zoo
Attn: Renata
500 Ringgold Street
Brownsville, TX 78520
Orders must be received by December 15 for mail delivery by December 24, 2011 or gift certificate pick-up available until December 25th.
(956) 546-7187
Phone lines are open
during regular Zoo hours of
operation 9:00 a.m. to 5:00 p.m.
seven days a week.
Qty.
Name of Item
Type of Membership, Admission
Pass or Animal to be Adopted. Recipient Name Unit Price Total
Method of Payment: o Check o Money Order o MasterCard o Visa o American Express o Discover
Total
Cardholder Name_________________________________________________________________________________________________
Account Number_________________________________Expiration Date____________ Signature_____________________________________
Please make your check payable to: THE VALLEY ZOOLOGICAL SOCIETY
This is a gift from:
Person Giving Gift________________________________________ Address____________________________________________________
City______________________________________________________________________ State___________ Zip___________________
Day Phone______________________________ Email address to receive shipping confirmation__________________________________________
o Please hold gift at the Zoo and I will pick it up
o Please send gift to recipient
o Please send gift to me and I will forward it
All gifts will be sent via U.S. Postal Service regular mail.
Send gift to: (Please use a separate sheet for each gift; printout form online at www.gpz.org)
o NEW MEMBER o MEMBERSHIP RENEWAL o ADOPTION o ADMISSION PASSES
MEMBERSHIP/RECIPIENT INFORMATION: (PLEASE PRINT)
Name___________________________________________________ 2nd Adult Head of Household____________________________________
Street Address________________________________________________________________Apt. No.________________________________
City ______________________________________________________________________State__________________ Zip_____________
Day Phone________________________________________________ Evening Phone_____________________________________________
For Adoption only
Animal to be adopted:_________________________________________ Name to be on certificate and plaque:_______________________
For Grandparent or Family Memberships, please list all children or grandchildren, 18 years and younger
Send me E-News
___ Yes ___ No
Name_________________________________Date of Birth___________ Name______________________________
Name_________________________________Date of Birth___________ Name______________________________
Date of Birth___________
Date of Birth___________
Please list page number and total pages sent. Pages _____ of _____