bermuda zoological society atlantic conservation partnership

Transcription

bermuda zoological society atlantic conservation partnership
BERMUDA ZOOLOGICAL SOCIETY
Registered Charity #179
ATLANTIC CONSERVATION PARTNERSHIP
BOOKING FORM
BEHIND-THE-SCENES TOURS
You may complete one booking form for all persons in your party. Please print clearly or type. Note: Asterisks * denote
required fields. Tours take place every Thursday at 2pm from September through April.
Date of Tour you wish to book:* ____________________________
Last name of main contact in your party:*__________________________ First name:*__________________________
Number of additional persons in this booking over the age of 5:*_______________
Number of persons age 5 years and under (you will not be charged for these):*______________
BZS/ACP Membership number, if applicable: __________________ (required if paying the member’s price)
In order that we can confirm your booking and contact you in any event please provide the following information:
Bermuda Hotel or Guest House name (if applicable): _______________________ phone number:* ______________
Daytime contact number:* ________________________ Evening contact number:*__________________________
Email address:*__________________________________________________________________________________
Payments:*
Number of members over age 5 ______________ @$25.00/person = $____________
Names: ________________________________________________________________________________________
Number of non-members over age 5 __________ @ $50.00/person = $____________
Names: ________________________________________________________________________________________
□ I wish to make an additional donation to the BZS Education programmes. Amount: $ ___________
□ I wish to Join the BZS or ACP at the __________________ level @$________________ (please complete form on page 2)
Total Payment: $_____________
Credit Card Information:*
Credit Card #: _________________________________________________ Exp. Date: ___________
Card Holder's Name (print clearly or type): ______________________________________________
Email completed form to [email protected] or call 293 2727 x 2159 to process your booking over the phone
Bookings are not confirmed until payment has been successfully processed
_______________________________________________________________________________________________________________________________________
For office use only:
Member: Yes/No
Total number of paying persons: _____
Subtotal: _____
Additional donation Yes/No: ________
Total Payment Amount: $ __________
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MEMBERSHIP INFORMATION
We hope you will consider becoming a Member of the Bermuda Zoological Society (BZS), or the Atlantic Conservation
Partnership (ACP). ACP is a US 501 (c) (3) charitable organisation. Gifts are deductible for US taxpayers
Please complete if you wish to join.
I wish to join as a  BZS membership  ACP membership at the ________________level (see below).
adult 1: Last Name _____________________ First Name _____________________ Mr. Mrs. Ms Other _____
adult 2: Last Name _____________________ First Name: ____________________ Mr. Mrs. Ms Other _____
Mailing Address:
House Name/Unit #/PO Box:______________________________________________
Street # _________ Street Name __________________________________________________________
Parish/Town _____________________ State _______ Postal Code ____________ Country _________
Children’s Names (18 and under or in full time education): _______________________________________
Home Tel ____________________________________
Work Tel: adult 1____________________________
adult
adult
2 ____________________________________
2 __________________________________
Cell: adult 1 ____________________________ adult 2 ____________________________________
Fax: adult 1____________________________
adult 2_____________________________________
Email: adult 1 ____________________________ adult 2 ____________________________________
 Yes! I am interested in Volunteer Work
MEMBERSHIP BENEFITS
Standard benefits include free admission to the Bermuda Aquarium, Museum & Zoo (BAMZ). 10% discount in the gift shop for $10+ purchases on presentation of membership card.
Membership also includes discounts on our WILD Encounters and the ability to register for our renowned, member only, summer Aqua Camps for kids.
MEMBERSHIP LEVELS
Student $10
Student memberships are available for students 13–18 years of age. (Children under 13 years of age must be accompanied by an adult when visiting BAMZ.)
Senior $15
Senior couple $30
Senior memberships are for individuals age 65 and above.
Individual $45
Available for one adult over the age of 18
Killifish Family $75
For membership purposes, a family is defined as the parents and their immediate children under the age of 18 or in full-time education. A Family membership can have
no more than two adults named on the membership card. In the case of a single parent family, one other adult may be named on the card. Additional benefits include
booking privileges for Aqua Camp participants.
Killifish Grandparent $75
Grandparent memberships include two grandparents and up to three grandchildren (age 18 and under) or one grandparent and four grandchildren (age 18 and under) to
be named on the card. Additional grandchildren’s names may be added to the card at $5.00/child. Additional benefits include booking privileges for Aqua Camp
participants.
Bermudiana $150
Includes Killifish family/grandparent membership benefits, plus two additional guest passes with each visit.
Cahow $250
Includes Killifish family/grandparent membership benefits, plus four additional guest passes with each visit.
Longtail $550
Includes Cahow membership benefits, plus a 10% discount on Aquarium Hall rental or Endurance charter
Palmetto $1,000
Includes Longtail membership benefits, plus one complimentary use of BAMZ for a cocktail reception (Does not include catering, entertainment or staff costs).
Cedar $2,500
Includes Palmetto membership benefits plus a private behind-the-scenes tour for group of 10 (reservations required).
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