2. Please use one form per request!
4. First Name*
5. Last Name*
7. Phone Number
8. Email Address*
10. Event Name:*
12. Event Description*
14. Location of the Event (please include complete address information)*
16. Start / End Date and Time of Event*
    Start / End Date and Time of Event Start Date

    Start / End Date and Time of Event Start Time

    —

    Start / End Date and Time of Event End Date

    Start / End Date and Time of Event End Time
18. Contact information (telephone, email, or website)*
20. Is this organization a licensed non-profit?*

    1. Yes
    2. No
21. Is this event open to the public?*

    1. Yes
    2. No
23. Is there a cost to attend the event?*

    1. Yes
    2. No
24. If available, the announcement should be publicized on (choose at least one)*

    1. Cable Channel Bulletin Board
    2. Website Calendar
    3. Electronic Message Sign

26. Please send attachments to Publicity@bensenville.il.us, and let us know. File types accepted are pdf, jpg, and png.

    Uploads to the Community Announcement Request Form are not guaranteed for distribution. It is requested that you review the information for accuracy once it has been posted. By pressing the submit below, you agree to all policies outlined in our Publicity Request Guidelines.

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field