Public Relations Report Complete all fields for each program, presentation or contact with media. Date of Contact(xx-xx-xxxx) PFBC Region Region ============ Northwest Southwest Northcentral Southcentral Northeast Southeast   District Number (BLE only) PFBC Staff Involved   Bureau (primary) ============ Administration (Bureau) Administration (Office) Boating & Outreach Engineering Executive Office Field Operations Fisheries Hatcheries IT Law Enforcement Requesting Organization Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Other Zip code County Choose a county ============ Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria Cameron Carbon Centre Chester Clarion Clearfield Clinton Columbia Crawford Cumberland Dauphin Delaware Elk Erie Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery Montour Northampton Northumberland Perry Philadelphia Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming York Out of State Topics / Program Presented   Contact Type (check boxes that apply)   Show / exhibit   Meetings   Education program   Technical presentation   Information program   Tour   Media / press                   Group Type (check boxes that apply)   Anglers   Civic Group   Boaters   Professional / Technical   Conservation Club   School Students   Sportsman's Club   Other             Estimate of Attendance (for each age group)   Youth 8-12   Adults 24-65   Teens 13-18   Seniors 65+   Young Adults 19-24         Comments / Evaluation Follow Up Action Taken / Needed After submitting this form you will be taken to the PFBC home page.