Media Committee

Please use this form when requesting media services. Our SLA turnaround time is within 2 weeks. Please submit this request at least 30 days prior to the event.

Name

First Name

Last Name

Phone

(###)

###

####

Requestor Association

Is this a LROC sanctioned event?

Is this a sponsored event? If yes, who is the sponsor?

Event Name

Event Date

If you're unsure of the specific date, please provide an approximate date.

YYYY

Event Location

Event Description

Point of Contact

Please provide contact information for the person responsible for this event.

Media Needs

Please select all media types you're requesting

Website Page

Facebook

Instagram

TikTok

QR Code

Print Media (flyer, brouchure, post card) (budgetary approval required)

Registration Form/ Questionnaire

If registration or questionnaire form is required, please specify below.