Florida Elks - Public Relations / Speaker Request

FSEA Major Projects

Daniel Masi 295px

"I look forward to speaking with your group or organization about the Florida Elks, it's Major Projects and our community involvement for over 150 years. Please provide the information requested below. Thank you."

Dan Masi
Development Director
352-805-0823
dan@floridaelks.org

First Name*

Please let us know your name.

Last Name*

Please let us know your name.

Title:*

Invalid Input

Requesting Organization

Invalid Input

Sponsoring Organization

Invalid Input

Address 1

Invalid Input

Address 2

Invalid Input

City

Invalid Input

State

Invalid Input

Zip Code

Invalid Input

Phone*

Invalid Input

Contact Phone on Day of Meeting

Invalid Input

Email*

Invalid Input

Type of Meeting

Invalid Input

Meeting Date

Invalid Input

Presentation Time

Invalid Input

Requested Topic

Invalid Input

Length of Presentation

Invalid Input

Audience Size

Invalid Input

Audience Composition

Invalid Input

Meeting Location Address 1

Invalid Input

Meeting Location Address 2

Invalid Input

Meeting Attire

Invalid Input

A/V Equipment Available

Invalid Input

Recommended Lodging Name

Invalid Input

Recommended Lodging Address

Invalid Input

Recommended Lodging Phone

Invalid Input

Closest Airport

Invalid Input

Recommended Ground Transportation

Invalid Input

Additional Information / Comments

Invalid Input