Communications Job Request Form

Full name of person making request(*)
Invalid Input
Department (i.e. Services, Training, Development, etc.)(*)
Invalid Input
Email address(*)
Invalid Input
Work Telephone #:(*)
Invalid Input
Check what items you need (*)







Invalid Input
Name of Event/Activity(*)
Invalid Input
Date and time of the event(*)
Invalid Input
Location of your event: street address, city, zip.(*)
Invalid Input
Fees, if any, for the event or activity.(*)
Invalid Input
If for an event, what is the capacity/seating limit? (*)
Invalid Input
Please include the registration deadline/cutoff (date and time).(*)
Invalid Input
For events/workshops, provide the point of contact name, email and phone (this will be posted for the public)(*)
Invalid Input
What date do you need the item(s)? We will do our best to accommodate. (*)
Invalid Input
In this box:
1) Describe your target audience.
2) Provide size specs, quantity needed, and final format (print, web).
3) Links to similar projects can also be included in this section.(*)
Invalid Input
In this box:
1. Type in the copy (wording) for your project.
2. If you do not have exact wording, please let us know what message you want to convey.
3. Include the contact info to share with the public (email & phone#).
4. You may also attach a document below.
Invalid Input
If you have an image or file to share please attach and upload here. If you have multiple files please email them to dlaxton@autismsociety-nc.org.
Invalid Input