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The Zoo and You
 

ZooBrick Order Form

A great way to support the Zoo is by purchasing a personalized ZooBrick!

With a contribution of $100, you will receive a 4” x 8” ZooBrick, which will accommodate a maximum of 16 characters per line and up to three lines of text. With a contribution of $250, you will receive an 8” x 8” ZooBrick, which will accommodate a maximum of 16 characters per line and up to six lines of text.

Bricks are ordered by the Zoo quarterly. We will send you a ZooBrick letter confirming your inscription when we receive payment. Please note that the actual brick will not be installed until after the next quarterly brick shipment arrives at the Zoo.

Brick inscriptions are subject to approval by the Virginia Zoo.

Your Information:
First Name:
Last Name: Membership Number: (if applicable)
Street Address: Email Address:
City: Day Phone:
State: Would you like to receive email updates?
ZIP Code:   Yes   No
Purchasing as a Gift:
Is this ZooBrick a gift for someone else?   Yes   No
If you are purchasing this ZooBrick as a gift for someone else, enter their information below.
Recipient's Name: Membership Number: (if applicable)
Street Address: Phone:
City:    
State:    
ZIP Code:    
Select and Personalize:
4” x 8” ZooBrick   ($100) 3 lines of text, up to 16 characters per line
8” x 8” ZooBrick   ($250) 6 lines of text, up to 16 characters per line
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Line 6:
Check the appropriate box:
Please send the ZooBrick letter only to me.
Please send the ZooBrick letter only to the gift recipient.
Specials & Discounts
Coupon Code: Coupon codes are case sensitive!

On the next screen, you will have the opportunity to review your information before proceeding with checkout through Paypal. You do not need a Paypal account to check out; you may also pay securely via credit card. You will receive email confirmation of your order once it has been processed (usually 10-15 minutes).





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