Online renewal/application form Step 1: Information
Online renewal/application form
All Bermuda Zoological Society memberships include:
I wish to Join Renew ID# &/or Memb# Membership Levels: select one Student $10(one child age 12-18) Senior $15 (one adult age 65+) Senior Couple $30 (two adults age 65+) Individual $45 (one adult age 19-64) Killifish-Family $75 (2 parents* and immediate children under age 18 or in full time education) Killifish-Grandparent $75 (2 grandparents and 3 grandchildren** under age 18) Bermudiana $150 (family plus 2 guests allowed on any visit) Cahow $250 (family plus 4 guest allowed on any visit – other benefits apply – see below) Longtail $550 (family plus 4 guests allowed on any visit – other benefits apply – see below) Palmetto $1,000 (family plus 4 guest allowed on any visit – other benefits apply – see below) Cedar $2,500 (family plus 4 guest allowed on any visit – other benefits apply – see below) * a single parent may add one other adult to their membership. ** additional grandchildren may be added at $5/child – please add extra as donation at check out Information: Adult 1: Last Name: First Name: Mr Mrs Ms Dr Miss Other Adult 2: Last Name: First Name: Mr Mrs Ms Dr Miss Other Children's Names (age 18 or in full time education)
Mailing Address: House name/Unit #/PO Box: Street #:Street: Parish/City/Town: State:Postal/Zip Code: Country:
House Address (if different from above):House name/Unit #: Street #:Street: Parish/City/Town: State:Postal/Zip Code: Country:
Phone numbers: Phone: (Home) Work 1 Work 2Cell 1 Cell 2 Fax:
E-mail: Email 1Email 2
Name on Credit/Debit card being used for payment: I wish to make an additional donation to the BZS. Amount: Please add this amount at check out.
Gift Memberships: The above membership is a gift from: Last Name: First Name: Mr Mrs Ms Dr Miss Other House Name/Unit #/PO Box: Street#: Street: Parish/City/Town: State:Postal Code/Zip Code: Country: Phone: Home: Work: Cell: E-mail: Please send the renewal notice to me. Please do not send the renewal notice to me.
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