Media Request — World Shakers

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Media Request Form

This form is for use to request marketing/communication materials. Please complete this form with as much detail as possible.

Note: All request must be submitted at minimum 3 months prior the date media is needed.

Event Type *

Event Title *

Please make sure all spelling is correct

Description of Event *

Please provide a description on the event you're planning so that we can get a feel for your event

Event Date/ Date Needed *

Please verify you are sending your request at minimum 3 months in advance of this date

Location of Event *

Provide name of location, address, city, state, and zip code

Event Time *

Event Colors *

Provide color palette for event

Point of Contact *

First Name

Last Name

Point of Contact Email *

Requested Media Items *

In-Service Screen

Event Flyer/ Invitation

Registration Form

Photographer

Sound

Banner

Marketing Video

Production Team

Print Media *

Do you need flyers printed for your event?

Yes

NO

Additional Request or Comments

Please provide any additional request or comments you have that may have regarding this event

Thank you!