Organizational Group Membership Form

An organizational group membership permits an organization to bring groups to the Zoo for free. The membership can be used repeatedly throughout the year and can be renewed on an annual basis.

Please check the appropriate level.

__
$100
For groups up to 10 (including chaperones)
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$200
For groups up to 25 (including chaperones)
__
$300
For groups up to 50 (including chaperones)
Contact Person: _______________________________________________ Phone#:____________________________
Name of Organization: _____________________________________________________________________________
Address:__________________________________ City:_______________________ State:_____ Zip:_____________
Fax#:____________________________Email:_________________________________________________________

Total Amount Enclosed: $__________________ Your membership card will be mailed to you.

Thank You!

Please fill out the form and mail it along with your check payable to Buttonwood Park Zoological Society, Inc. to:

BPZS, 425 Hawthorn Street, New Bedford, MA 02740

If you have any questions, please call (508) 991-4556 x10.

Please Circle:      MC     Visa      Discover Card   #:_________________________________ Exp. Date: _________
Signature:____________________________________________________________________Date:________________