Name *

First Name

Last Name

Phone

(###)

###

####

All School Email Blast *

You may request a targeted email blast for your event. Please allow at least two business days. Note that the date of distribution may be different from your request due to the communications calendar.

YES

NO

Requested Date of Distribution

MM

DD

YYYY

Newsletter Ad *

Ad will be run in the next Friday PTC newsletter. If you would like your ad to run for more than one week, please indicate this in the Comments. Thanks!

YES

NO

Requested Date of Distribution

MM

DD

YYYY

Attachment *

Images are requested for all communications. Please send the image you'd like to use and/or any other attachments (Registration Form, Permission Slip, Coupon, etc.) to ogdenptc@gmail.com and murdockje@dist102.k12.il.us. Thank you!

YES

NO