Promotion Request Form

Brochure Flier News Release Web site

Want Ad Hill topics Email Flier Post Card

Other (Please specify)

Program/ Event Title/ Course

Target Audience

Start Date End Date Day(s)

Start Time End Time

Registration Time

Instructor/ Speaker(s)

Location

Cost: Tuition/Fees

Continuing education contact hours if applicable

Check-in/registration information

Requester of promotion

Phone #

Additional Comments

Program information (objectives, narrative, bio, speaker photo, etc.) should be sent under separate cover through email if possible or hard copy. Please send completed request form to smithd@bartonccc.edu