JOIN THE POTAWATOMI ZOOLOGICAL SOCIETY

And receive FREE admission to the zoo for one year!

Download and print our membership form, or sign up online by filling out the information below.

Please allow 10 business days for processing online zoo memberships.

Membership are non-transferable and non-refundable.

 

About You – If you are a NEW member, RENEWING member, or a GIFT GIVER, please fill out this portion of the form. The lower portion of this form is for gift membership recipients only.

Please note: Once you submit your credit card information, you will receive an e-mail verification/receipt from Society Director Marcy Dean. Submitted payments are not refundable, therefore please use care and double-check your order before submitting your payment.

Online membership purchases are processed through PayPal; you do not need a PayPal account to use our online order form.

Download our membership form

About You

Primary Adult
First Name:
MI:
Last Name:
# of children under age 18 on your membership:


Secondary Adult
First Name:
MI:
Last Name:

Your Address

Address:
City:
State:
Zipcode:
Home Phone:
Work Phone:
E-mail Address:
Yes, I'd like to receive occasional e-mail updates, news and future discounts from the Zoo. The Potawatomi Zoo will not share, sell or trade your e-mail address with any third parties.

Membership Level

For Renewing Members: If you are using your membership renewal coupon YOU MUST use the three-digit code when purchasing the membership to receive your discount. Use the code in the "Promotion Code" box at the bottom of this form for the discount to apply. If you sign up at the Zoo you must present the coupon to receive the discount. We will not refund discounts for codes not presented at time of purchase.

Please choose from the following membership levels: $25 - Senior
$25 - Student
$35 - Individual
$55 - Grandparents
$60 - Family
$100 - Patron
$250 - Benefactor's Circle
$500 - Curator's Circle
$1000 - Director's Circle

More Options:

$15 - Add a guest to any category above
Please write your additional member's name in the space provided.
Guest Name:
If you would like to bring an unnamed guest each visit, please write “Guest” in the Guest Name box above. Your unnamed guest must be accompanied by one of the two adults on your membership.
$15 - Add a subscription to Conservation Magazine

This Membership is a:

First Time Membership
Renewal Membership
Gift Membership

If a renewal, is this an early renewal?

Yes
No

If this is a Gift Membership:

Recipient's Name:

Primary Member
First Name:
MI:
Last Name:
# of children under age 18 on the membership:


Secondary Member
First Name:
MI:
Last Name:


Recipient's Address:

Address:
City:
State:
Zipcode:
Email:
Phone:

Would you like the Zoo membership materials to be sent to you or the recipient?

Me
Recipient


Message to be included on Gift Card:
How would you like the gift card signed?
Additional Instructions:

Promotions:

Promotion Code: (Please enter your 3-digit Promotion Code)

Security Check:




 
 
 

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10/22/2010 - Zoo Boo
10/23/2010 - Zoo Boo
10/24/2010 - Little Zoo Boo
11/28/2010 - Zoo Closes For Winter Season
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Potawatomi Zoo  • 500 S. Greenlawn • South Bend, IN 46615 • 574.288.4639 • info@potawatomizoo.org
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