Request for Publicity

	**** Please note this form is to submit St. Mary's Parish events only! Complete this request form and press the submit button to submit to the Publicity Coordinator at least 3 weeks prior to the event.
Person/Committee Requesting Publicity (*)	Invalid Input
Event Name (*)	Invalid Input
Event Date(s)	Invalid Input
Start Time	Invalid Input
End Time	Invalid Input
Event Cost	Invalid Input
Event Location	Invalid Input
Event Description	Invalid Input
Contact Name (*)	Invalid Input
Contact Phone	Invalid Input
Contact Email	Invalid Input
Do you want the media to contact you with questions?	YesNo Invalid Input
Special Instructions	Invalid Input
Do you want publicity sent to regular media outlets? (*)	YesNo Invalid Input
I would like publicity sent to this specific meda contact:	Invalid Input
Please include applicable photos or graphics in the release	Invalid Input