Association of Zoo and Aquarium Docents

Organization Membership Application

Zoo or Aquarium Name: _______________________________________________

Organization Name:___________________________________________________

Attn (Include Job Title):________________________________________________

Address: ____________________________________________________________

City ________________________________ State ___________________________

Zip ______________-_________ Country _____________________________

Email address ______________________________________________________

Phone (_____)_____________________ FAX (______)_____________________

Membership Category:

 Organization ($25 U.S./year)

[ ] New   [ ] Renewal                               

Make checks payable to: Association of Zoo and Aquarium Docents (AZAD)

All funds payable through a U.S. bank.

Mail to: Kathy Schaeffer
2715 Weide Way
Lower Burrell PA 15068-3634

AZAD Refund Policy: No Refunds will be issued for amounts of $ 5.00 or less. These funds will be considered a donation to AZAD. There will be a $ 10.00 Returned Check Charge.