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Flyer Request Form
Fill out this form to request creation of a flyer to promote a course offered through Northern
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* Indicates required question
Email
*
Your email
Your name
*
Your answer
Your phone and email
*
Your answer
TITLE of COURSE
*
Your answer
Type of course
*
Continuing education
For credit
Both Continuing Education & for credit
Other:
Course Location
*
Your answer
Target audience / age level
Your answer
Brief Course Description
*
One to three lines of text
Your answer
Course Start Date
*
Your answer
Course End Date
*
Your answer
Course meeting days
*
Your answer
Course meeting times
*
Your answer
Course cost
*
Your answer
Material Fees
Please add if there are material fees in addition to course cost.
Your answer
Name of instructor
*
Your answer
Brief Instructor Bio
*
One to three lines of text
Your answer
Can this course be grouped and marketed together with other courses?
Yes
No
Clear selection
If course is part of a group, please list other classes
For example, Microsoft Word, Excel and PPT classes could be grouped in one flyer even if held at different times..
Your answer
Let us know if you have an image or idea for an image that would help promote your course.
If you have an image you'd like us to use, please email it to
sandyk@nnmc.edu
and lisa.
pelletier@nnmc.edu
Your answer
Additional information
Whatever else you think we need to include
Your answer
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