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Time Slot Form

Four programs with four cablecast forms and a signed access user contract must be submitted before a weekly time slot is granted.

Click Here to get a printibable form. Click on the icon to get the free reader.

Program Title:  
First Name:  
Last Name:  
Address:  
City:  
State:  
Zip Code:  
Telephone Day:  
Telephone Night:  
E-mail:  
Program Length:  
Type of Program:  
How Many Weeks:  
1st Choice of Day:  
1st Choice of Time:  
2nd Choice of Day:  
2nd Choice of Time:  
3rd Choice of Day:  
3rd Choice of Time:  
     
   
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