Communications Request Form

Contact Information

Request Submitted By: *

Community, Service, or Department *

Requestor’s Phone Number *

Email *

Project/Event Details

Project Type *

Event Collaterals

Non-Event Collaterals

Form

Building Signage

Testimonial/Community Story

Reprint Request

White 2-Pocket Folder Order

Event Details

Brief Description of what you would like to accomplish *

Date of the Event *

Hours of the Event *

Location of the Event *

RSVP *

Yes

No

RSVP Date *

RSVP Contact Name

RSVP Phone Number

Target Audience *

Prospects

Adult Children of Prospects

Referral Sources

Current Residents

Families of Current Residents

Other (please describe in notes)

Non-Event Collaterals

What do you want this campaign/project to accomplish? *

Form

Form Notes *

Building Signage

Building Signage Notes *

Sign Dimensions (Approximate)

Reprint Request

Type of Request *

Reprint

Reprint with changes

Describe changes needed

Title or Theme of Brochure or Flyer *

Quantity Needed *

Rush Requested

Quantities <500 will be printed in-house and available within 5 to 10 business days.
Quantities >500 will be outsourced and available within 10-15 business days.
If your job requires a delivery date sooner than this timeframe, please check the box above and someone will contact you to discuss your order.

Rush Request Justification *

White 2-Pocket Folder Order

No. of Boxes (Qty 200 per box) *

Maximum of 2 boxes per order. Must come to Tinley Park for pickup; delivery is not available.

Other Quantity (less than 200)

Testimonial/Community Story

Use this option to submit a story idea for an upcoming newsletter, blog post, and/or press release, or to request an interview for a testimonial.

Provide a brief description of the testimonial/story concept: *

Name of Resident/Family Member/Staff to be interviewed *

Phone number for interview subject

Email address for interview subject

Has the subject already given permission to be interviewed AND for the story to be used for publication? *

Yes

No

Does the subject have a signed photo release on file? *

Yes

No

Collateral Request

Select one or more types of collateral that you need to support your event or campaign.

Services

Ad

Brochure

Direct Mail

E-Blast

Facebook Event

Print Collateral

Promotional Item

Ad Options

For best results, please submit your ad request at least 4 weeks prior to the event date. All ads will run for approximately 2 weeks prior to event date (dependent on publication schedule), unless otherwise noted and approved.

Target Publication(s) *

Ad Notes/Additional Instructions

Brochure Options

Brief Description of Information needed on Brochure *

Quantity Needed *

Direct Mail Options

Layout Options

Describe request for Custom Design:

Direct Mail Notes/Additional Instructions

E-Blast Options

An e-blast will be created and sent to your target audience(s) based on the information entered above. If you have any additional or specific requests, please enter them in the notes section below.

E-Blast Notes/Additional Instructions

Print Collateral Options

Options *

Insert (8.5 x 3.6)

Flyer (8.5 x 11)

Posters (11 x 17)

Hand-Delivered Postcard (5.5 x 8.5)

Quantity (Insert 8.5 x 3.6) *

Quantity (Flyer 8.5 x 11) *

Quantity (Posters 11 x 17) *

Quantity (Hand-Delivered Postcard 5.5 x 8.5) *

Layout Options

Choose a Layout Design

Promotional Item

Product Description(s) *

Include the following on the product: *

Logo

Community Address

Website Address

Phone Number

Other (describe in notes)

Website Reference Link

Vendor Contact Information

Facebook Event

An Event will be created on Facebook based on the information provided above. If you have any additional or specific requests, please enter them in the notes section below.

Facebook Event Notes

Additional Details

Reference Files

Drag 'n Drop your files here!

Contact Information

Project/Event Details

Event Details

Non-Event Collaterals

Form

Building Signage

Reprint Request

White 2-Pocket Folder Order

Testimonial/Community Story

Collateral Request

Ad Options

Brochure Options

Direct Mail Options

E-Blast Options

Print Collateral Options

Promotional Item

Facebook Event

Additional Details

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