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Association of Zoo and Aquarium Docents Membership Application (Please
Print)
Name: _______________________________________________First Middle Last
Address ______________________________________________ Number (Or Box #) Street Apt # City _____________________________ State
_______________ Zip ______________-_________ Email address ________________________________________Choose one newsletter option: [ ] Regular Mail or [ ] Email Phone (_____)____________________ Years a Docent____ Zoo or Aquarium Name :
_______________________________ Membership Category: Check One [ ] Active Docent* $ 20.00 [ ] Inactive Docent* $ 20.00 [ ] Associate $
20.00 Check: New ___ or Renewal ___ Amount Enclosed _________Make checks to: Association of Zoo and Aquarium Docents
(AZAD) All funds payable through a U.S. bank. Mail to:
Charlotte Powell 11614 Stevens Rd Philadelphia, PA 19116-2926 *A Docent shall
be considered any volunteer who is involved in educating the public about
zoos and aquariums. 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 Return Check Charge. MH (8/2010)) |
