COMMUNICATIONS & MEDIA RELATIONS
Services Request Form

Please fill out the following information so that we can better help you.

Please provide the following contact information:

First Name
Last Name
Department
Work Phone
E-mail

Choose one of the following service options:

Graphics
Publications
News
Photography
Website

Provide a detailed description of what you would like to accomplish (include a URL if this pertains to a website):

Enter the date of the event or deadline (Note that any requests with less than a one week notice will not be guaranteed to be completed within your required time frame):

Enter the time, if applicable:

COMMUNICATIONS & MEDIA RELATIONS

Building 3026, Room 304/301D

P.O. Box 1675

Galveston, Texas 77553

Tel. 409.740.4830/4850 Fax. 409.741.4407

communications@tamug.edu

http://www.tamug.edu/communications
Revised: 09/28/12