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Request for Communications Services

2. Instructions
   Please fill out the form below with as much detail as possible. We do anticipate follow up in person for more complex requests.

   Please fill out the form below with as much detail as possible. We do anticipate follow up in person for more complex requests.

4. First Name

5. Last Name

7. Email Address

8. Phone Number

10. Office/Division

12. Type of Communication work
    -- Select One --Press releaseMessage development, copy writing, and editingGraphic designSocial MediaWebsitethe Link/IntranetCampaign development and strategic consultationMarketing materials/content approvalPrinting/reprinting and Plotter outputCommunication staff participation on a grantPhotography, stock image downloads and photo editingVideo productionOther not listed

13. Please upload any images you would like to include in the project.

15. Target audience (ex. 15 to 18 year old males that work at restaurants) Age, gender, income, education, ethnicity, geographic area

17. Call to action (What do you want people to do after seeing your flyer, brochure, social post etc. ) ex. Stop drinking sugary beverages, quit smoking, get tested

19. Messaging text, what specific text should be in the communication, ex. times, locations, services, etc.

21. What is your timeline? When do you need it finished? Please allow adequate time for the approval process.
    What is your timeline? When do you need it finished? Please allow adequate time for the approval process.

    What is your timeline? When do you need it finished? Please allow adequate time for the approval process.

22. Budget (if any)

24. Specifications, sizes and quantities

26. How will you evaluate the success of this communication and do you need assistance with that?

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field