Paine College

Requesting Department/ Organization *
Name of Requestor * Title First Last Suffix
Today's Date * MM / DD / YYYY
This form should be submitted two-weeks prior to event. The date the request is received will determine coverage.
Select Service *
Press Release Photography Electronic Copies of Photographs Publication creation Upcoming Events web posting

More than one choice is permitted, but services must be for one event. Please fill in information below to complete request.
Name of Event *
Date * MM / DD / YYYY
Time * HH : MM : SS AM/PM
Campus location or Off-Campus location *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Please provide detailed information about an upcoming event, electronic copies, publication creation or web posting. *

Press releases, publication creation and web postings all require additional information to complete request. Please paste information here or send information in a word file to cartern@mail.paine.edu.
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