Friends Of The Irvine Park Zoo, Inc. Membership Application Form 

Yes! I Want To Become A Member. My Check Is Enclosed. I Would Also Like To Volunteer Where Indicated.
Corporate Member $ __________  Company___________________________________________
$500 Life Member $ $ __________  Name______________________________________________ 
$100 Contributing Member $ __________  Address____________________________________________ 
$50 Supporting Member $ __________  ___________________________________________________ 
$35 Family Membership $ __________  ___________________________________________________ 
$20 Individual Membership $ __________  Phone______________________________________________
Other Contribution $ __________  Email_______________________________________________ 
I Have Included FIPZI In My Will $ __________  [ ]  My Employer Has A Matching Gift Program - Form Enclosed

I Would Like To Help With:

[ ]  Planning/Board Member [ ]  Fundraising/Events [ ]  Petting Zoo
[ ]  Public Awareness/Education [ ]  Newsletter/Meetings [ ]  Other _______________________

FRIENDS OF THE IRVINE PARK ZOO, INC. IS A 501(c)(3) NON-PROFIT ORGANIZATION 

Friends Of The Irvine Park Zoo, Inc. 
P.O. Box 71 
Chippewa Falls, WI 54729-0071

*Please print this form and mail to above address.