Ambassador Membership

Your Information

All fields marked by an asterisk (*) are required.

*Title	*Name
Spouse's Name	(if applicable)
Company Name
*Street Address
Address (con't)
*City	*State *Zip Code
*Home Phone	*E-mail
*Type	New       Renewal       Gift **      Donation
** Please include the name and address of the Gift Membership recipient below.  For more than one gift membership purchased, add name and address of the other Gift Recipient(s) in the Additional  Instructions box provided below.

Gift Membership Recipient Information

Title	Name
Spouse's Name
Street Address
Address (cont.)
City	State  Zip Code

Additional Information & Instructions

Add additional gift membership information, special instructions, or comments.

Favorite Attractions

Please tell us which are your favorite attractions are at City Park:
Please check all that apply.

Amusement Park Baseball Facilities Bicycling Botanical Garden Concerts Fishing Golf

Nature Trail/Couturie Forest New Orleans Museum of Art Playgrounds Soccer Stables Storyland Walking/Jogging