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Email Request

Requester Name*
First Last
Requester Email*
Requested Date for Email to be Sent*
Date Format: MM slash DD slash YYYY

Note: This date is not confirmed until this form is reviewed by the marketing and communications department. Based on the current schedule, the date of your email may change.
Name of Email Sender*
- Mary Bird Perkins Cancer Center
- Mary Bird Perkins - Our Lady of the Lake Cancer Center
- Mary Bird Perkins TGMC Cancer Center
- Todd Stevens
- Linda Lee
- Danielle Mack
- Dana Neucere
- Renea Duffin
- Carter Stone
- Jonas Fontenot
Purpose and Goal of the Email*
Call to Action*
Key Message*
Audience*
- Internal Audience
- Donors
- Boards/Committees
- Patients
Segments of Internal Audience*
- Mary Bird Employees - Baton Rouge
- Mary Bird Employees - Covington
- Mary Bird Employees - Gonzales
- Mary Bird Employees - Hammond
- Mary Bird Employees - Houma
- Mary Bird Employees - Natchez
- SMT
- CCLT
- Lake Employees at the Cancer Center
- MDCs
- OLOL SMT
- Cancer Services
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Donor Locations*
- OLOL/Baton Rouge
- Cancer Services/Baton Rouge
- Corporate/Gonzales
- Corporate/Hammond
- Corporate/Natchez
- Northshore/Covington
- TGMC/Houma
- Corporate/All Markets
Segments of OLOL/Baton Rouge Donors*
- Over $1,000
- Under $1,000
- Lipsey Legacy Society
- Investor Collective
- Signature Event Sponsors
- Signature Event Participants
- Third Party Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Cancer Services/Baton Rouge Donors*
- Major Gift Donors
- Leadership Donors
- Event Sponsors/Hosts
- Third Party Events
- Event Participants
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Corporate/Gonzales Donors*
- Over $1,000
- Under $1,000
- Event Attendees
- Third Party Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Corporate/Hammond Donors*
- Over $1,000
- Under $1,000
- Event Attendees
- Third Party Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Corporate/Natchez Donors*
- Donors
- Event Attendees
- Third Party Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Northshore/Covington Donors*
- Over $1,000
- Under $1,000
- Investor Collective
- Event Attendees
- Third Party Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of TGMC/Houma Donors*
- Over $1,000
- Under $1,000
- Event Attendees
- Third Party Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Corporate/All Markets*
- Over $1,000
- Under $1,000
- Corporate Sponsors
- Grantors
- Annual Giving
- Foundation
- Third Party Events
- Signature Events
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
Segments of Boards/Committees*
- Board of Directors
- Foundation Board of Directors
- Marketing Committee
- Joint Development Committee
- Past Board Members
- Additional Group/Contacts
Please list additional internal audience contacts you would like to be included*
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