Project # For office use only Office of Communications and Marketing One Bernard Baruch Way, Box A-1503, New York, NY 10010 Street Address: 17 Lexington Ave., Room 1503 Tel. (646) 660-6105 Fax (646) 660-6104 Marketing Material Request Form Please save this as a word file and attach it in an e-mail to: communications@baruch.cuny.edu Office/Department Requesting Material: Client Contact: E-mail: Fax: Telephone Number: Date Request Submitted: New Material Revision Reprint (If material is a revision or a reprint, please attach a copy of current version to the e-mail or inter-office mail it to A-1503 with a copy of this request form) Working Title of Material: Purposes of the Material: Intended Audience: (e.g., alumni, graduate or undergrad students, prospective students, parents of students, donors, etc.) Method of Distribution (e.g., first-class mail, bulk mail, handout, display, electronic): Quantity: Date When Needed: Delivery Instructions / Location (s): We will schedule an appointment for you with an editor and designer to initiate the project. Please be prepared to bring background material, draft text, past versions of similar projects, and images. Source of Funds (indicate department / budget ): If possible, indicate above the maximum budget for this project I certify that funds are available within the account to be charged: Authorized Signature (department contact)