RESERVE MY TICKETS FOR ZOOLALA!
| _____ Individual Ticket(s) @ $150 each for a total of............................................ 
 | $_______ | 
| _____ Patron Ticket(s) @ $200 each for a total of (includes invitation to pre-gala patron party and a chance to win one of our exclusive door prizes).................. 
 | $_______ | 
| _____ Patron Table(s) table of ten @ $2500 for a total of (includes Patron benefits, plus preferred seating and a name listing in program)........................................ | $_______ | 
Name:_____________________________________________________________________
Company:__________________________________________________________________
Address:___________________________________________________________________
City:__________________________________ State:__________Zip: __________________
Phone (daytime):_____________________________________________________________
Method of Payment
q Check payable to the Oregon Zoo Foundation
q Visa q American Express q Discover q MasterCard
Name on card:______________________________________________________________
Card #:___________________________________________ Exp. date:________________
Signature:__________________________________________________________________
| Please print and mail to: | Kris Terich, The Oregon Zoo Foundation 4001 SW Canyon Rd, Portland, OR 97221 | 
| OR call: | (503) 220-2492 | 
| OR e-mail: |