Request for Public Relations Services
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Department/Person Submitting *
Email Address *
Date Submitted *
MM
/
DD
/
YYYY
Dated Needed *
MM
/
DD
/
YYYY
Quantity Needed
Event Title/Purpose
Check the following if needed
This is the area where you let us know what services you are requesting.
If media ads are needed, please specify newspapers/radio stations where you want the ad played if you have a preference
Please List the Details of the Event
(example: date, time, place, etc.)
Other Notes
If you have any comments or details not listed above please list it here.
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