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Communication Services Request
Your First Name:
Your Last Name:
Your Section/Clinic:
(Example: Research, Administration, Residency, etc.)
Your Phone:
Your Email:
Services requested:
Marketing (Example: Advice on how to promote an event etc.)
Graphics (Design of flyers brochures bulletin boards ads etc.)
Web site
Communcations (Example: Coverage for newsletter)
Audiovisual (Video conference & Edcomm reservation help)
Computer help (Software installation etc.)
Project Deadline:
Note: Completion by deadline is dependent on when request is submitted, prior commitments and manager approval. A minimum of 48 hours is appreciated.
Additional Information/Requests:
