For more information:
info@mediabridges.org

Downloadable Forms (PDF's):



NON PROFIT SERVICES REQUEST

 

      
 

COMMUNITY MESSAGE APPLICATION: To submit a request for a community event to be promoted on our channels fill out our online application. We are best able to accomodate your needs, if we recieve your event submission two weeks prior of the event date.

1. What group or organization is sponsoring the event (required)?

2. Event Title (required):

3. Date of Event (required):

4. Starting time of the event (required):

5. Event location (required):

6. Additional information about the event:

7. Phone number for viewers who need additional information (required):

8. What is your name (required)?

9. What phone number can be contacted at (required)?

10. Is your event affiliated with a non profit organization (required)?

11. If so, what is the name of the non profit organization?

12. From what neighborhood does the non profit operate:

13. In what zip code is the non profit organization?