By completing this step, you authorize the storing of this card account for a payment of [AMOUNT] [FREQUENCY] [DURATION]. FOR GIFTS OF $100 You will be invited to an early morning viewing, with a unique opportunity to visit the new Madagascar exhibit and see firsthand how your gift has been used and why your support is so valued. FOR GIFTS OF $1,000 OR MORE To honor your generous support, your name (or that of a loved one) will be inscribed along with other sponsors on a beautiful recognition plaque at the entrance to the new Madagascar exhibit at the San Diego Zoo. Plus, you'll be invited to an exclusive dedication party! Select Giving Level * Select Gift Amount: Required Select Gift Amount: $5,000 Select Gift Amount: $1,000 Select Gift Amount: $500 Select Gift Amount: $100 Select Gift Amount: $50 Select Gift Amount: $25 Select Gift Amount: Other Enter amount. * Select Gift Amount: Required Select Gift Amount: $5,000 $100 $1,000 $50 $500 $25 Other For contributions of $1,000 or more:Your name (or that of a loved one) will be placed on a donor recognition plaque near the Madagascar exhibit. (Limit to 36 characters including spaces and punctuation.) Honor Gift Type: Choose the memorial gift only if the person you are honoring is deceased. In Memory of In Honor of Required Choose the memorial gift only if the person you are honoring is deceased. Your Information * First Name: Required A first name is required. Required * Last Name: Required A last name is required. Required * Street 1: Required A street address is required. Required Street 2: * City: Required A city is required. 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By checking this option I authorize San Diego Zoo Global to process my donation as a recurring debit from my Checking account in the amount listed above, which will be debited on the same day each month. For inquiries, changing donation amounts, and revoking authorization, I can call The San Diego Zoo between the hours of 8:30 a.m. and 4:30 p.m. PST at 619.718.3000 or email wildlifeconservancy@sandiegozoo.org. I understand that this authorization will remain in effect until I cancel it as set forth above, and I agree to notify San Diego Zoo Global of any changes in my account information or termination of this authorization at least 15 days prior to the next donation date. If the donation date falls on a weekend or holiday, I understand that the payments may be executed on the next business day. I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that San Diego Zoo Global may at its discretion attempt to process the donation again within 30 days. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company so long as the transactions correspond to the terms indicated in this authorization form. Required The nonprofit Zoological Society of San Diego, doing business as San Diego Zoo Global, operates the San Diego Zoo, San Diego Zoo Safari Park, and San Diego Zoo Institute for Conservation Research. Tax ID# 95-1648219.