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Department
*
Project Title
*
Quantity (for each project format):
Budget Code
*
Person Making Request
*
First
Last
Extension
*
E-mail
*
Project Format(s): choose all that apply
*
8.5×11 Flyer
11×17 Poster
5.5×8.5 Postcard
Brochure
Booklet
Electronic Document (PDF)
Other (please describe in the box below)
Advertisements:
Dillon Tribune
Dillonite Daily Ad
Dillonite Daily Insert
Other Publication (please describe in box below)
Description & Additional Information
Terms of Acceptance
*
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above description and payment from the indicated budget code for this Marketing Services Request.
Digital Budget Authorization Signature
*
First
Last
Phone
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