Donation Form – Honor a Loved One – The Toledo Zoo & Aquarium

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1 Donation Amount

2 Customer Info

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

1 Registration

2 Team Information

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First Last
Email*
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

07-443610-07:Museum Plant Tag
Your 2" x 4" tag will feature the plant name, species and origin along with your name indicated as sponsoring the plant. The tag will be printed on anodized aluminum on a black background with white lettering. The donation cost for each plant tag in the ProMedica Museum of Natural History is $100. Your tag will be assigned to the proper species within the Museum prairie installation or one of the two Museum greenhouses and will be displayed for the life of the plant.

Commitments and donations must be received by April 1, 2019 to ensure tag placement by the opening of the Museum.

If you have questions or need assistance with your purchase, please contact the Zoo at 419-385-5721, ext. 2078.
Name
Prefix First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Donation Amount

01-554210-19:Museum Bench
Your engraved bench plaque will accommodate forty characters per line (including spacing and punctuation) and up to three lines of text. Your special message will be cast onto an anodized aluminum plaque and placed on the seat of the bench. The cost for your bench in the ProMedica Museum of Natural History at the Toledo Zoo is $1,500.
The bench is 72" x 20", hard maple finished in mocha with brushed bronze legs. Your bench will be assigned to the public interior area of the Museum.

Commitments and donations must be received by April 1, 2019 to ensure adequate processing time.

If you have questions or need assistance with your purchase, please contact the Zoo at 419-385-5721 ext. 2078.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone*
Line #1 (40 Character Max)*
Line #2 (40 Character Max)
Line #3 (40 Character Max)
Donation Amount

05-441003-11:Museum Donor Wall
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Wall Inscription
Prefix First Last
Additional Family Member Names for Inscription
Donation Amount

1 In Tribute Of

2 Donor Information

3 Honoree Information

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

Tribute Occasion*
Honoree Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1 In Memory Of

2 Donor Information

3 Next of Kin Information

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

Please enter the next of kin name:*
Next of Kin Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country