Press Release Information Form

This submission form collects background information and data for the drafting of an official press release and/or media advisory. Please include all required information. Please note that additional information may be included via attached file(s). See below for specific details.

If you have any questions, please contact Peter Graber at (919) 215-3165 or via email at peter@grabers.com

Company/Organizational Info

Please provide all necessary contact information:

Company Name: *

Contact Person: *

Telephone: * (XXX) XXX-XXXX

Fax Number: (XXX) XXX-XXXX

Email Address: *

Email address of primary contact.

Organizational Press Info

Optional.

Can We Quote You:

Yes

Quoted Person's Full Name:

Quoted Person's Title:

Topic/News Item Info

Describe the news item, event or main topic of the release/advisory.

Describe the Announcement: *

The What. Provide a detailed description on what you are announcing.

Attachments:

Upload any additional files, including pictures, that provide additional background information. To include multiple files, please Zip them prior to attachment.

Distribution Info

Please enter your preferred release date, distribution type(s) and distribution targets.

Target Release Date: *

Indicate the day you prefer for the official release.

Broadcast Method: *

Via Email

Via Fax

Please indicate your preference in distributing this press release/media advisory.

Target Markets by DMA: *

Triangle Region (Raleigh DMA)

Triad Region (Greensboro-Highpoint DMA)

Charlotte Region (Charlotte DMA)

Western NC (Greenville-Spartanburg DMA)

Northern Coast Region (Greenville-New Bern DMA)

Southern Coast Region (Wilmington DMA)

All of North Carolina

Western New York (Buffalo DMA}

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