Brandywine Zoo - Zoo Membership Form

Delaware Zoological Society

Please complete the form and either fax it back to us with credit card information OR mail with check or credit card information. Please make checks payable to Delaware Zoological Society. Please call (302) 571-7788 for more information or to complete an application over the telephone (have a credit card ready).

Fax Number: 302.571.7787

Attn: Membership Office
Brandywine Zoo
1001 North Park Drive
Wilmington, DE 19802

Membership Type:
Individual $25 Senior $35 Household $45 Donor $75

The membership types below should select an animal from the appropriate A.D.O.P.T. list:
Naturalist $100 (Lists A-F)	Zoo-Gooder $250 (Lists A-G)	Animal Enthusiast $500 (Lists A-H)	Rare Bird $1000 (Lists A-H)


$15 - LIST A Black-Headed Caique Hedgehog Cattle Egret Chinchilla Hooded Merganser (Duck) Cinnamon Teal (Duck) Corn Snake Rabbit Shoveler Duck Wood Duck Ring Teal Duck Giant Hissing Cockroach $25 - LIST B Matamata Turtle Pygmy Goat Ferret Rhea Green Iguana Coati Leopard Tortoise Box Turtle Blue Tongue Skink	$35 - LIST C Bearded Dragon Marine Toad Red-billed Toucan Honduran Milk Snake Rainbow Boa $50 - LIST D Greater Sandhill Crane Golden Lion Tamarin Red Handed Tamarin Common Marmoset Golden-Headed Tamarin Goeldi's Monkey Cotton Top Tamarin Black Tufted-Ear Marmoset $75 - LIST E Blue & Yellow Macaw Burmese Python African Ball Python Blood Python	$100 - LIST F Anaconda Llama Burrowing Owl Swift Fox $150 - LIST G Prehensile-Tailed Porcupine Andean Condor $200 - LIST H Florida Bobcat Otter Two-Toed Sloth Clouded Leopard Serval $500 - LIST I Capybara Binturong $1000 - LIST J Siberian Tiger

Names of Adults:

Names/Ages of Children:

Mailing Address:

City: State: Zip Code:

Phone Number: E-Mail:

Payment Options:
Visa MasterCard

Card #:

Expiration Date: Month: Year:

If this membership is a gift, please put sponsor and recipient names below.

Sponsor's Name:

Recipient's Name:

Where would you like us to mail the membership card if different from above?

Name:

Mailing Address:

City: State: Zip Code:

Phone Number: