To request marketing materials for the 2008-2009 tax season, please fill out the following request form. Your request will be sent directly to a Campaign staff member. Materials requests will be sent out within one week. If you have any questions, please send an e-mail to mkiesel@gpuac.org.
*** indicates a required field
Campaign For Working Families Materials Request Form
Organization Information
Organization  ***
Address Line 1
Address Line 2
City
State
Zip
Hours of Operation
Primary Contact Information
First Name  ***
Last Name  ***
Email  ***
Phone  ***  123-456-7890
Presentation Request
Yes, I would like a representative from the Campaign to come and speak to our group
No, thanks
Material Quantity
Flyers
Posters
Delivery Information
Special delivery instructions (time of day, location, etc.)
Date by which the order must be delivered  mm/dd/yyyy