Media Request Form
Concord UMC staff form to request promotion or communication around an event, class, or service opportunity. Please submit as early as possible to allow for graphic, online, and printed elements to be created as needed, or at least 4 weeks prior to the first deadline.
Email address *
Requestor's Name *
Your answer
Email *
Your answer
Phone Number
Your answer
Ministry Area *
Your answer
Name of Event, Class, Service *
Your answer
Event Start Date *
MM
/
DD
/
YYYY
Event End Date
MM
/
DD
/
YYYY
Event Time
Time
:
Childcare Provided?
What is the goal/purpose/outcome?
Your answer
Who is the target audience?
Your answer
Online Registration?
Registration Deadline?
MM
/
DD
/
YYYY
Cost per person?
Your answer
Do you have a theme for this event?
Your answer
Do you have photos, graphics, videos to use in the promotion of this event?
If you need graphics created, please note below what elements you need?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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