MEDIA REQUEST FORM - HEADER 535x137

MEDIA REQUEST FORM

The National Day of Prayer Task Force has developed a Media Kit including radio PSAs, press releases/articles, banner ads, print ads, logos, billboard art, and more. To request these resources, or if you are a media outlet and would like to request an interview, please complete form below.

*I am a...
 Church Volunteer Volunteer Coordinator Media Representative Other

*First Name

*Last Name

*Street Address

*City

*State

*Zip

*Phone

*Email

Email Confirmation *

I would like to receive...
 Radio PSAs Print Ads Banner Ads Press Releases

I work for a media outlet and would like to schedule an interview...
 NO  YES

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