This form can be used to Register or make a Donation

BIAW 5th Annual Walk for Thought
Saturday, October 4, 2008
Milwaukee, County Zoo
Registration opens at 9:00 am
Click here to view the brochure.

Adults $22.00 -- Children $7.00 (12 and under)
Parking and admission to the zoo is free if you are registered for this walk!

Register before September 11th to be guaranteed a t-shirt.
There are two ways to register:

Print and mail this form with check to BIAW, 21100 W. Capitol Dr., Suite 5, Pewaukee, WI 53072
OR
Fill in the form below and click on the "Pay Now" button if paying by credit card. RETURN to this page by clicking the "Back" button on your browser and then click the submit button below. You will receive an email confirmation of your registration.

To make a donation, please fill in all lines marked with an asterick (*).


Name*:
Address*:
City*:
State*:
Zip*:
Phone*:
E-Mail*:
 
(do not mark if donating only)
 
T-shirt Adult:
T-shirt child:
   
   
 
  If you are paying via credit card, make sure to click on the "pay now" button BEFORE clicking on the submit button. After paying, click the "Back" button on your browser to return to this page, then click the submit button.