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: $ __________ Page 1 of 2 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). Page 2 of 2
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