Publicity Request Form

Fill out the Publicity Request Form below and hit submit to send request.
An “*” means that the blank must be filled in.

Publicity Request

Event Name *

Event Date *

Time *

Place *

Dates requested for advertisement to run *

Description *

(will be printed as is, subject to editing; attach further information if needed)

Registration required? *

• Yes
• No

Registration deadline

How to register

If online registration is to be made available, list information you require:

Cost (If no cost, indicate $0) *

How Payment may be made - Click all that apply *

• Brown Bag Online Ticket Sales (link will be put on the church's website)
• Visit church office or Sunday morning sales table
• Contact a church member
• Pay at time of the event
• No cost/no payment required

Your Name *

Submitter's information (in case of questions; won't be published)

Your phone number *

Your email *

Name of Public Contact *

Public contact information (where members of community can get additional details)

Public Email *

(Can be church's email: standrewspeaks@gmail.com)

Public Phone *

(Can be church's phone number: 708-798-8904)

When you click "Submit", a confirmation message will be posted. If you do not see that message, your request form may not have been filled out completely causing it not to be submitted. Please check to be sure that all required fields are filled in. Once all required fields have been filled in please click "Submit" again. No response is required to this statement.

Email

Submit