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Communication Request -Form Fill

Section One
Q1

Name

First Name

Q2

Name

Last Name

Q3

Position

Q4

Committee/Target

Q5

Phone Number

Phone Number

Q6

Email

Q7

Has the content been approved by the Basileus or Anti-Basileus

Q8

Distribution Date (if multiple dates are needed, include in detail box below)

Date

Q9

Which platform would you like this information shared?

Q10

Material Design and Assistance

Q11

URL

Q12

Attachment

Q13

Request Details