Public Relations Form

Submitter Name:

Event Title

Submitter Email:

Contact Number:

Date of Request:

Date Required:

PR or Web Request:

If PR, do flyers need to be created for this event?

Yes No

Send info to be posted on website to: mosdac_media@mosdac.org
Send info to be posted on social media to: socialmedia@mosdac.org
Send info to be posted on screen to: screen@mosdac.org

Request Details:

Time of Event:

Number of People Expected:

Event Address 1:

Event Address 2:

Event Address 3:

City:

State:

Zip Code: