Speaker Request Form - ECZF Legacy Campaign

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speaker request form

Thank you for your interest in learning more about Our Legacy! We look forward to connecting with you.

Name of Group or Organization

Where would you like the presentation held?

My location Brevard Zoo Virtual Other

If other, please explain:

Contact Name

Phone number

Number of people in your group/org

Estimated number of attendees

Do you have technology for a PowerPoint presentation?

Yes No

If no, provide A/V needs below:

Provide at least two dates & times for the presentation

How did you learn about Our Legacy Campaign?

Additional questions or information

East Coast Zoological Foundation

Brevard Zoo | The Future Aquarium Project

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321.254.9453

8225 N. Wickham Rd.
Melbourne, FL 32940

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By submitting this form, you are consenting to receive marketing emails from: East Coast Zoological Foundation. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

East Coast Zoological Foundation is an IRS-designated 501(c)(3) nonprofit organization. Donations are tax-deductible. A copy of the official registration and financial information may be obtained from the division of consumer services (www.800HELPFLA.COM) by calling 1-800-HELP-FLA toll-free within the state. Registration does not imply endorsement, approval, or recommendation by the state. Registration #CHI1341. By donating to our cause, you acknowledge that should The Aquarium Project not come to fruition, these pledged funds will be directed to the East Coast Zoological Foundation’s greatest need.