Publicity Request Form

Choose type of publicity you are requesting:: *

Required

Name: *

Required

Office/Club: *

Email: *

Phone : *

Publicity start date: *

Publicity end date: *

Title of event: *

Date of event: *

Place of event: *

Time of event: *

:

am

pm

Description of Event:

Key Words/Phrases:

Design Ideas:

Print Specifics (for posters and flyers only -- your department will be charged):

Color

B/W

Color? Or black and white?

Print size:

8.5 x 11

11 x 17

other

If "other" please specify:

Number of prints:

Student Activities and Leadership Opportunities