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Regional Marketing Manager

You will also recieve a reciept of this submisson.

Event Name

Is the Event confirmed?

Yes

Tentative

Events are like GOs may beTentative, other Event types may be waiting on insurance, requirements, or final approval. We understand that things can change.

Event Address

Event Date

Event Start Time

Time

HoursMinutes

Event End TIme

Time

HoursMinutes

Publix Branded Vehicle/Asset Selected

Visit www.promowrks.com to view all of the Publix Branded Assets.

Item(s) to Sample

Number of Samples

Store # for Pick up

Store Pick Up Time Expectation

Time

HoursMinutes

Premiums To Be Picked Up With Samples?

Yes

Premiums Description

Quantity of Premiums

Venue Contact Name

Venue Contact Phone Number

Load In Date

Load In Time

Time

HoursMinutes

Load Out Date

Load Out Time

Time

HoursMinutes

Special Instructions

Budget

Share your Budget Goal aligned to the media value and activation scope outlined, and together we'll design an Event that produces a successful Activation.

Any Additional Information

Upload Any Attachments

maps, pictures, directions, ect.

Signature

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Hold This Date For My Activation!