University Publications

Publication Request Form

Requesting Unit: *

Contact Person: *

Contact's Phone Number: *

Contact's E-mail Address: *

Publication: *

Brief Description of Purpose of Publication: *

Audience: *

How Many Copies are Needed? *

Does University Publications Need to Coordinate Photography? *
Yes   No

Date Publication Must be Completed: *
Please do not enter dates on or before August 30, 2015

Is This a Reprint of a Previous Publication? *
Yes   No

Will this Publication be a Self-mailer? *
Yes   No Not Yet Determined

Index that Pays for Printing Costs: *
Note: If the primary purpose of this publication is to recruit new students to Indiana State University,
the Office of Communications and Marketing may be able to fund a portion of the cost of printing.

Delivery Location: *
Building and room number, please.

Additional Comments and/or Information:

captcha image
Enter only the BLACK colored letters and numbers shown in the image.