Event Publicity and Graphic Design Request Form

If events are not submitted within the two-week timeline, we cannot guarantee that we can complete the work or effectively promote the event.

Please double check the information you submit as we cannot be responsible for incorrect information (times/dates/names, etc.)

All events taking place within CCC must have a Facilities Use Form submitted (located on myCoconino)

We look forward to promoting your event!

Contact Information

Your Name:*

Your Title:*

Your Phone Number:*

Your Email:*

Did you fill out the Facilities Use Request Form for this event?:* Yes
No

Event Information

Event Title:*

Event Start Date:*

Event End Date:

Event Start Time:

Event End Time:

Event Location:*

Who is your audience?:*

Does your event have a cost or is it a fundraiser?:*

How would you prefer to market your event?:*

Detailed event description and any information that may be helpful for design: (1000 chars left)*

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Event Publicity and Graphic Design Request Form

Your request has been submitted.