EAZA members

If you represent an EAZA member institution you can use the form below to register your institution as an official campaign participant. (Non-members should select the appropriate option from the Sign Up menu above.) Participating institutions are expected to, as a minimum, organise activities and displays that raise awareness of the campaign issues for your visitors. We also hope all participants will aim to raise money for the EAZA-IUCN/SSC Southeast Asia Campaign 2011- 2013. You can indicate the level of funds you hope to raise for the campaign on the form below.

It is important for the participants to have the full support and backing of the management of the institution. For this reason, although the form below should be completed by the person who will be main campaign contact for the zoo, we also require the submission, by fax or email, of a letter of institutional support from the Director or CEO of the institution. Download a template below.

Signing Up

  1. The main campaign contact at your institution should complete and submit the form below .
  2. A letter, confirming your institution’s participation in the campaign and signed by the Director/CEO, should be sent by email to info@southeastasiacampaign.org  by fax to +31 205 200 752. You can download a Word document template for the letter here.

EAZA Member Sign Up Form

Full name of the Southeast Asia campaign contact person at institution

Email of contact person

Institution's EAZA Shortname (Find it here)

Full name of institution (to be used on campaign website)

Website

Please indicate the level of funds your institution hopes to raise for the Southeast Asia Campaign during 2012. (Note: this should not be seen as a commitment for your institution - it is just intended to give us an idea of the level of funds that will be available to distribute to projects.

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