Brick/Paver Form

Help support Master Plan Projects by purchasing a Brick, that will be displayed in the Giraffe and Friends Exhibit.

Limited number of bricks available. 4x8 bricks are $100 and 8x8 bricks are $250.

Brick Information

Size of brick

Please enter your text below. (Max 12 characters per line)

Brick Line 1

Brick Line 2

Brick Line 3 (8x8 brick only)

Brick Line 4 (8x8 brick only)

Contact Information

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Phone

Help Us Cover Costs

Would you be willing to cover the 3% processing fee with your donation. Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission. We are charged a 3% processing fee on each donation.

Yes! I want $0.00 to go to Friends of the Topeka Zoo and I will donate $0.00.No. I will donate $0.00 and Friends of the Topeka Zoo will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Country

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.