Media Request Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Today's Date *Contact Person *FirstLastEmail *Phone *Ministry or Department *Name of Event (if applicable) *Date of Event (if applicable) *Media Requested *Event Registration (One month prior to event/activity)Flyer/Graphic (Two months prior to event/activity)Marquee (One month prior to requested date)Newsletter (Two months prior to event/activity)FYI Video (Two weeks prior to Sunday run)Survey (Two weeks prior to event/activity)Social Media Posts (One month before event/activity date)Social Media Capture - Day of EventText Message (Two weeks prior to event/activity. Provide recipient information)Video Production (One month prior to event/activity)Approval authority reserves the right to assign the media type and run duration as deemed appropriate.Media Run Location *EastWestBothN/AMedia Run Duration (include from date and to date) *Include direct links to any accompanying music and/or images. Request and/or announcement details *Upload files, images and etc. to support your request Click or drag files to this area to upload. You can upload up to 3 files. Submit