Name on card. Adult Primary member who will receive all correspondence.
Address. Mr/Mrs/Miss/Ms First name. Surname. Date of birth / /. Telephone (H). (
W).
ZOOS VICTORIA MEMBERSHIP APPLICATION Membership fees & conditions Membership fees
$
Adult
$93.00
Additional adult
$80.00
Child (0-15 years of age)
Conditions of membership Concession memberships apply to Australian Pensioner Concession Card holders, Heathcare Card holders, Disability Concession or DVA Gold Card holders and full time students. You may be asked to present your concession card upon entry.
FREE
Concession
$73.00
Memberships are not transferable. Only the person named on the card may use it.
Senior
$85.00
Your current financial year membership card must be presented to gain entry. Benefits do not apply to school visits. For full terms and conditions visit www.zoo.org.au/membershipterms
Adult Primary member who will receive all correspondence. Mr/Mrs/Miss/Ms
First name
Surname
Date of birth
/
/
Address Telephone (H)
(W)
(Mobile)
Email
Conc.
Senior
Conc./Senior card no.
Additional adults 2. First name
Surname
Date of birth
/
/
Conc.
Senior
3. First name
Surname
Date of birth
/
/
Conc.
Senior
4. First name
Surname
Date of birth
/
/
Conc.
Senior
Children 0-15 years 1. First name
Surname
Date of birth
/
/
2. First name
Surname
Date of birth
/
/
3. First name
Surname
Date of birth
/
/
4. First name
Surname
Date of birth
/
/
5. First name
Surname
Date of birth
/
/
6. First name
Surname
Date of birth
/
/
Gift membership
Please tick this box if you wish the new members pack to be posted to you at your address.
Name
Address
Telephone
I agree to be bound by the Zoos Victoria membership conditions which may be altered from time to time.
Signature
Date
/
/
Please tick this box if you DO NOT wish to receive information from Zoos Victoria via email or post.
Complete section below if returning by fax, mail or email Sorry, we no longer accept cheques. Please pay using credit card or you can pay cash at one of our three zoos. Our member support helps us to fight wildlife extinction. If you would like to add a donation to help us further, enter the amount in the box to the right, thank you.
Cost of membership
$
Optional donation*
$
Total
$
*Donations over $2 are tax deductible.
Mastercard
Debit my credit card
Expiry date Name on card Card holder signature
Visa
Amex
Post completed application form to: Zoos Victoria Memberships PO Box 74, Parkville VIC 3052 Or fax to: (03) 9285 9390 Or scan and email to:
[email protected]
