Event Request

 
Date: *
Date:
$
Contact Name: *
Contact Name:
Phone: *
Phone:
If Yes, Please Check All That Apply:
If yes, please complete this form 2 weeks BEFORE first promo date
Requested Publicity Start Date
Requested Publicity Start Date
Requested Publicity End Date
Requested Publicity End Date
Publicity Type:
Check All That Apply
If yes, please email all artwork or video links to media@mynec.org
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