Rolling Hills Zoo Online Membership Form

Administrative Professionals Day "Break" for Conservation

With your "Break" purchase, your office will also receive your choice of an Animal Adoption. Choose between a tiger, rhino or giraffe!
(1 animal adoption per location/address)

AND wait, there's MORE! Based on your package selection, each Administrative Professional will also receive a gift bag of Forest-Friendly creamy chocolate truffles!

On Wednesday, April 21st between 8 a.m. and 11 a.m., RHZ staff will personally deliver a special Break Tray to your office (in Salina)!

Your Name *

First Name Last Name

Your Email *

example@example.com

Your Phone *

Area Code Phone Number

Will you be ordering more than one Tray/Platter & Animal Adoption to be delivered to more than one address? Or will you be ordering Tray(s)/Platter(s) & Animal Adoption to be delivered to a single address?

My order will have Trays/Platters and an animal adoption for MORE THAN ONE address My order will have Tray(s)/Platter(s) and an animal adoption FOR ONE SINGLE address

Name of Business *

Please let us know the address of each location and type of Tray or Platter and Animal Adoption that will be going to that address. One Animal Adoption per address.

Example: Assorted Cookie Tray & Tiger to Rolling Hills Zoo at 625 N. Hedville Road, Salina, KS. Dessert Platter & Rhino to 123 Rhino Way, Salina KS.

Please Deliver to: *

Street Address

Street Address Line 2

City

How many Administrative Professionals do you have at each address?

Example: 4 at Rolling Hills Zoo. 9 at 123 Rhino Way.

How many Administrative Professionals are at your office?

Enter the #

Which animal is your office adopting? *

Tiger Rhino Giraffe

Choose From These Following Yummy Selections
Select either for 4 Guests, 8 Guests or 12 Guests below

Assorted Cookie Tray
Including chocolate chip, white chocolate macadamia nut, and sugar cookies
Dessert Platter
Including petits fours, mini cheesecakes, and mini fruit tarts
Brunch Platter
Including mini bagels & cream cheese, donuts, and muffins

Choose Your Tray Selection & Number of Guests: *

Assorted Cookie Tray

# of Guests	Quantity	Price
4 Guests		$ 24.00
8 Guests		$ 48.00
12 Guests		$ 60.00

Item subtotal: $ 0.00

Dessert Platter

# of Guests	Quantity	Price
4 Guests		$ 30.00
8 Guests		$ 60.00
12 Guests		$ 90.00

Item subtotal: $ 0.00

Brunch Platter

# of Guests	Quantity	Price
4 Guests		$ 36.00
8 Guests		$ 72.00
12 Guests		$ 99.00

Item subtotal: $ 0.00

Total $ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country