HOMETOWN PUBLICITY FORM

Please complete this form to request publicity in your hometown newspaper.  If this information is placed in your local paper, please send us a clipping or copy of the clipping for our records.  Thank you!

Hilbert College
Office of Marketing and Communications
Franciscan Hall
5200 South Park Avenue
Hamburg, NY 14075

When appropriate, you will be identified as the son or daughter of your parents — whether they reside together or apart — or other guardian. Please give the name(s) and address(es) of the person(s) with whom you want to be identified and your relationship with them below (for deceased parents or guardians, please describe as "the late").