Recruitment Flyer Order Form

Need flyers for your recruitment night? Please submit this form at least 3 weeks prior to your event!

Person Submitting Request:

Name

Service Unit #

Email Address

Phone Number

Schools/other locations where this flyer will be distributed:

Event Title (Optional)

Date

MM/DD/YY

Time

X:XX pm - X:XX pm

Location Name

Address

Please include street address, city, state and zip code.

Contact name/email/phone number of person to be listed on flyer

Number of flyers needed:

Date flyers needed by:

MM/DD/YY

Any other information or wording you would like included on the flyer (write N/A if not applicable):

(Select either pick-up or mail and fill in corresponding information below)

I will pick up flyers from a council leadership center.

Please mail the flyers to me.

If picking up flyers, provide the date and leadership center location of your pick-up:

Date:

MM/DD/YY

If requesting that flyers are mailed provide the name, full address, and contact phone number of the recipient: