MEMBER Society’s Broadcast with Us 

Location of The Event *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of The Event *

MM

DD

YYYY

Time

Hour

Minute

Second

AM PM

Name (Point of Contact #1) *

Point of Contact #1

First Name

Last Name

Phone *

(###)

###

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Name (Point of Contact #2)

Point of Contact #2

First Name

Last Name

Phone

(###)

###

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Acknowledgments *

I understand that all press releases and announcements are subject to approval by the executive board. Events and announcements without promotional material, such as flyers or graphic art, might not be approved for press releases. Furthermore all press releases will be sent to all enlisted members via an email only once with our monthly newsletter. Further I understand that in order to submit press releases, my Syllogo needs to be in good standing with the federation and all dues paid for.

I Understand and agree with all the conditions