Marketing Request Form

Please fill out the following form detailing the program/event you are requesting to be publicized.

Program Contact Name
Program Contact Email
Program Website (Does your event/program have a webpage with information?)
Event/Program Name
Event/Program Location
Event Beginning Time Event Beginning Time : HH MM AM/PM
Event End Time Event End Time : HH MM AM/PM
Event Date Event Date / MM / DD YYYY
Does the event recur?

Does the event recur? Yes No
If yes, how often?
Please specify recurring dates and times below.
Event/program description. Please be detailed!
Marketing/Publicity Method Request

Marketing/Publicity Method Request 8.5X11 Poster 11X17 Poster

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