PUBLICITY & DESIGN REQUEST FORM
Today’s Date ___________________ Mgr. Approval _________________
Submitted By __________________________________ Direct Phone # ________________________
Branch/Dept. ____________________ Received by ComRel on ___________________________
DESIGN
PRESS RELEASE DEADLINE __________________ Materials will be ready 3 weeks prior to deadline
E‐NEWSLETTER LISTING TARGET AUDIENCE ____________________________________________________
TYPE/S OF DESIGN NEEDED (poster, tabletent, bookmark, etc. ______________
DEADLINE: The 10th of the month
before the month your event _________________________________________________________________________
is scheduled. (Jan. 10 for a Feb. event)
QUANTITY _______ DISTRIBUTION AREA/S ____________________________
Title _____________________________________________________________________________________________________________
Date _____________________________________________________________________________________________________________
Time/s ___________________________________________________________________________________________________________
Location _________________________________________________________________________________________________________
Age Requirements ________________________________________________________________________________________________
Sign‐up/Reservation Requirements _________________________________________________________________________________
Detailed Description:
Please be very specific and descriptive. The more information you provide, the more interesting the publicity will be. Feel free to
attach additional information, facts, quotes and/or pictures.
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
PLEASE SEND THIS FORM TO COMMUNITY RELATIONS
& PROVIDE A COPY TO YOUR PROGRAM LIAISON. AW, 1.07