Media Department Request Form
Please complete this form regarding any graphic related projects for your department and/or event.

For any additional assets, files and questions please email nccjcamedia@gmail.com.
Email *
Name *
(eg. John Doe)
Department *
(eg. A/V Dept.)
Project Name (Select all that may apply) *
(eg. Youth Rally 2009)
Project Description *
Please specify the Topic/Theme, Focus Scriptures, Date, Guest Speaker(s), Location, Time(s) & etc.
Suggested Wording
Do you have a blurb or statement you would like to be used?
Project Type (Select all that may apply) *
Required
Additional Size Requirements
Specify any specific size requirements for this project. If no customs sizes leave blank.
Print: Colour Information
If no printing is required leave blank.
Clear selection
Print: File Format
If no printing is required leave blank.
Clear selection
Supporting Services
Does this project require additional platforms? If no additional platforms leave blank.
Supporting Services: Launch Date
Please specify the date the graphics should be posted to the supporting services.
MM
/
DD
/
YYYY
Additional Information
Additional information, examples & etc.
Date of Submission *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
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