Publicity Request Form

Please fill out the publicity request form and submit.

Note: if you do not click on "submit" below, your request will not be sent!

Date submitted Date for completion

Requested by Phone #

Email

Project name (and description):

Type of project (please check appropriate box(es):

Indicate how text will be provided:

new text provided (email) pick-up from catalog or web other

Brochure Flyer Poster

Direct mail piece (please indicate mailing list(s) to be used)

Newspaper/Magazine ads (Please submit at least 2 weeks in advance of desired publication date):

News release (please submit at least 3 weeks in advance of desired publication date):

Subject:

Desired publication date:

Submit to full media list (170) Other

Revisions to Web pages New web pages

Proofing: You will be provided a copy to proof. Please return as soon as possible:

ok to publish as is ok to publish with indicated changes

Other instructions for delivery or completion:

Date