Form Center

2. Please limit your submission for the publicity to 150 characters (including spaces). Request should be submitted a minimum of 2 weeks in advance for website, e-newsletter and cable (Channel 4). There is no guarantee of posting your requested message; Village business takes first priority. The Manager's office has the authority to deny, reschedule or reword any request submitted on this form. The requested publicity must be information intended to inform residents of services and programs from other governmental agencies or events sponsored by a not-for-profit agencies or organizations that serve the Flossmoor community.
3. Today's Date
   Today's Date
5. Your Message: 150 Characters or Less*
7. Organization Name*
9. Contact Person*
11. Email*
12. Phone Number*
14. Organization Website
15. Upload Document Attachment
    Upload your event or program document.
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field