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2. 
4. Media Department Request Form
6. Requestor’s Name *
8. Request Type*

   Select all that apply.

   1. Videography
   2. Photography
   3. Event Posting for Web Content/ Social Media Blast
9. Asset Upload

   Upload documents or images that need to be shared. 

11. Name of Event *
13. Event Date and Time *
    Event Date and Time Start Date

    Event Date and Time Start Time

    —

    Event Date and Time End Date

    Event Date and Time End Time
15. Event Address
17. Address 1
19. Address 2
21. City
22. State
23. Zip
25. Contact Person*
27. Contact's Phone Number*
28. Alternative Phone Number
30. Contact's Email*
31. Alternative Email

33. I warrant and represent that the event broadcast by Hardeeville Television (HTVN) will not contain:

     

    1.  Any solicitation of funds, advertising, or any material designed to promote the sale of commercial products or services.
    2.  Any material that is obscene, indecent or an invasion of privacy.
    3.  Any material that is slanderous, libelous or made unlawful by a government body.
    4.  Any material lottery information, gift enterprise or similar scheme.
    5.  Any content that pertains to campaigning or upcoming elections with the exceptions of forums and candidate profiles.
35. We ask that all request be submitted at least two weeks prior to the event.
37. Date of Submission
    Date of Submission

39. Please check your submission for grammar and spelling errors. The City of Hardeeville will not be held responsible for grammar or spelling errors on your submission

     

    We will attempt to honor all proper requests but because of other obligations or time we may not be able to do so.  Hardeeville Management and Administration have the last word. 

     

    By submitting this form, you confirm that you have read and agree to the official rules and terms.  

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field