MA First Responders Membership Information Membership Application $85 Individual One named adult member (ages 18+) 55 Valid for first responders working in Massachusetts. Must include valid ID as proof of employment. $100 Dual Two named adult members (ages 18+) OR 70 One named adult member (ages 18+) plus one accompanying New member Renewal Upgrade Member ID: ___________ guest of any age Level: Individual ($55) Dual ($70) Family ($95) $125 Family Two named adult members (ages 18+) Family Plus ($120) Friend ($145) 95 Four children (ages 2-18) $150 Family Plus Two named adult members (ages 18+) MEMBER 1 MR./MS./MRS./DR./OTHER: _____ 120 Four children (ages 2-18) Two accompanying guests of any age First Name: _________________________ Last Name:________________________ Address: __________________________________________________ Apt: _______ $175 Friend Three named adult members (ages 18+) Ideal for caregivers 145 BEST VALUE Four children (ages 2-18) and babysitters! City: _________________________________ State: __________ Zip: ____________ Two accompanying guests of any age Phone: _______________________________ Children under age 2 are always admitted free of charge. E-mail: ______________________________________________________________ Receive information about Zoo New England events and updates ALL member levels enjoy these great benefits and more! A full year of free general admission to Franklin Park Zoo and Stone Zoo MEMBER 2 MR./MS./MRS./DR./OTHER: _____ Express entry on our busiest days First Name: _________________________ Last Name:________________________ Admission to 140+ other zoos for free or half-price 10% off all food and gift shop purchases at both Zoos MEMBER 3 (Friend level only) MR./MS./MRS./DR./OTHER: _____ 10% off all birthday parties, corporate outings and event rentals at both Zoos Discounts on education programs offering hands-on activities for kids, overnights, First Name: _________________________ Last Name:________________________ close-up animal encounters, behind-the-scenes tours and adult classes at both Zoos Payment Method Return to admissions booth or complete the following for mail-in applications Card type: Cash Check (payable to Zoo New England) Submit Applications to: Visa / Discover / Card Number: ______________________________________ MasterCard / Zoo New England Exp: _________ Cardholder: ___________________________ AmEx Membership Department Phone: 617-989-2076 Signature: __________________________________________ One Franklin Park Road Fax: 617-989-2025 (notify prior to sending) Boston, MA 02121 E-mail: [email protected] Staff use only Credentials presented? Initial to indicate YES. Attach copy if possible. ____ Location: __ FPZ __ SZ Initials: _____ Date: ___/___/___ Amount of membership: $_____ Less receipt amount: $_____ Total payment received : $_____ Form expires 12/31/2019. .