RESPONSIBILITY FOR DISTRIBUTION OF LITERATURE FORM
NAME: _____________________________________________________________________________
GROUP REPRESENTED (if any): ________________________________________________________
REASON FOR DISTRIBUTION OF LITERATURE: _________________________________________
STUDENT I.D. NUMBER: ___________________________ ADVISOR:_________________________
DATE SUBMITTED: _________TIME SUBMITTED: __________________ QUANITY: __________
DISTRIBUTION DATES (mm/dd/yy): From: __________________________To: _________________
CONTACT PHONE NUMBER __________________________ CONTACT EMAIL _______________
Flyers and posters expire once distribution dates have expired.
I, the undersigned, am fully aware of the Publicity Code and I understand that I will be held responsible for the
clean-up of any litter caused by my publicity. Clean-up, including any flyers, should occur within twenty-four hours
after the college event. I understand that I must return proof of publicity removal to the Commissioner of Public
Relations following the college event. Failure to do so can result in a hold of publicity registration. I also
understand that I will be held responsible for any infractions of the Publicity code that I might make.
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Signature