Zoo Membership Information Change Form

Please enter your first and last name:

Please enter a current phone number or e-mail address where we can reach you if we need to contact you about your change request:

Your Toledo Zoo Membership ID Number
This is the number that appears after "Member ID" on your Zoo Membership card
I
f Membership ID number is unknown, type "unknown" then include your address so that we can locate your information in our database:

In order to help us quickly assist you, please only provide updates for information that actually needs to be changed by filling in the appropriate box or boxes below

Name Change:


Previous Name


Change to:


Updated Name

Address Change:


Previous Street Address


Change to:


Updated Street Address


Previous City, State and Zip Code


Change to:


Updated City, State and Zip Code

Phone Number Change:


Previous Phone Number


Change to:


Updated Phone Number

E-mail Address Change:


Previous Email Address


Change to:


Updated Email Address

Please enter any additional instructions or comments in the box below: