Please print out this form. Then fill it out and mail it to the address listed below.
___ Renewal, Membership Number: _______________________ OR ___New Member
Name: _____________________________________________________________________
Second Adult Name:__________________________________________________________
 ____Number of dependent children under 18 OR ____Number of grandchildren under 18
Address:___________________________________________________________________
City_________________________________State____________Zip Code_______________
Daytime Phone with Area Code:__________________________________________________

E-mail address:_______________________________________________________________
(Your e-mail address will not be shared with any outside organization.)
Membership Categories - Check One:
   $40 Individual                     $ 85 Household                      $85 Grandparent
   $62 Individual Plus*          $105 Household Plus*          $105 Grandparent Plus*
* Guest must be accompanied by the adult member
Subject to change without notice
Make check payable to Minnesota Zoo or charge (check one):
  Visa         Mastercard         American Express        Discover
Account # : ______________________________________________________________
Exp Date: ____________________________________________________________
                               

Please send to:
 Minnesota Zoo Membership
13000 Zoo Boulevard , Apple Valley, Minnesota 55124-8199
Phone: 952.431.9200
Fax: 952.431.9300
 
Membership From: (only if given as a gift)
Name:________________________________________________________________________
Address:______________________________________________________________________
City____________________________________State___________Zip Code__________
Daytime Phone with Area Code: ____________________________________________________
E-mail address: _______________________________________________________________
Instructions:

Send Gift to:     Recipient         Me
If Membership is being sent as a gift and going directly to the recipient, please fill out the following gift card message.

Gift Card Message: _______________________________________________________________
____________________________________________________________________


Send Renewal Notice to:     Recipient        Me