Communication Request for Berryton UMC
Complete this form to submit information regarding a communication request two or more weeks prior to the scheduled date. This will form allows us to create registrations and provide options for the types of media coverage available.

Requests will be reviewed and processed as quickly as possible. Rev. Andrew Conard will give final approval for requests.

Name of Event / Program
Description of Event / Program
Date of Event / Program
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DD
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YYYY
Start Time of Event / Program
Time
:
End Time of Event / Program
Time
:
Location of Event
This Event / Program is designed for:
Will people register or RSVP for this Event / Program
Contact Person for the Event or Program
Email and Phone Number of Contact Person for Event / Program
Name of Person Submitting Form *
Email and / or Phone Number of Contact Person *
File Attachments (If Needed)
Submit
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