Tile Program

Join in on the Tile Program and carve your memories in stone with your own personalized slate tile!

 For $150, you can personalize a tile for yourself, your family or a special friend.  Funds raised through this program directly support the Zoo.  Tiles will be installed on the outside of the elephant and rhino barn in Encounter Africa.  You get to choose your engraved: Elephant, African , Zebra, Giraffe, Red River Hog or Vulture!

Fill out the following information and mail both pages to: Cheyenne Mountain Zoo – Development Department 4250 Cheyenne Mountain Zoo Road Springs, CO 80906

Or fax to: (719) 633-2254

ENGRAVED TILES:

Quantit y ordered: ______@ $150 each

Total cost: $ ______

PAYMENT METHOD (circle one):

Cash Check (Please make check payable to ‘Cheyenne Mountain Zoo’)

Visa MasterCard Discover American Express

Card #: ______Exp. Date: ______

Signature: ______

Your Name: ______

Address: ______

City: ______State: ______Zip: ______

Home Phone: ( ) ______Email: ______

Email Address: ______

Page 1 of 2

(Cont. on page 2) ENGRAVING INFORMATION: Only one character per block. Print exactly how you want the text to be engraved on the tile. Each tile can have two lines with as many as 12 characters per line. Text will be centered on each tile. Please specify what animal you would like engraved on each tile: African Elephant, Lion, Zebra, Red River Hog, Vulture or Giraffe.

EXAMPLE (Animal): GIRAFFE ELEPHANT AFRICAN LION RED RIVER HOG VULTURE ZEBRA

I n H o n o r o f

J a n e S m i t h

TILE 1 (Animal): GIRAFFE ELEPHANT AFRICAN LION RED RIVER HOG VULTURE ZEBRA

TILE 2 (Animal): GIRAFFE ELEPHANT AFRICAN LION RED RIVER HOG VULTURE ZEBRA

TILE 3 (Animal): GIRAFFE ELEPHANT AFRICAN LION RED RIVER HOG VULTURE ZEBRA

TILE 4 (Animal): GIRAFFE ELEPHANT AFRICAN LION RED RIVER HOG VULTURE ZEBRA

TILE 5 (Animal): GIRAFFE ELEPHANT AFRICAN LION RED RIVER HOG VULTURE ZEBRA

Cheyenne Mountain Zoo reserves the right to refuse to engrave any name or organization it deems to be inappropriate. Questions? Call (719) 424-7815 or email [email protected].

Thank you for your donation! A letter of receipt from Cheyenne Mountain Zoo will be sent to you soon.

Page 2 of 2