Note: Please submit a separate form for each event.
* Station's Call Letters: Band: AM FM TV
City: State: AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
Station's Network Affiliation:
Station owner:
* Your Name:
* Your E-mail Address:
Please indicate the type of time offered:
Debate Forum/Town Hall Free on-air appearance Voter Registration Drive Other (if Other: describe in Comments section below)
Date of Debate/Appearance:
Start Time: End Time:
Hosting Station(s):
Participating Candidate(s): ex.: John Brown (R), Mary Smith (D), U.S. Senate
Candidates that have turned down your offers for debates/free air time:
Other stations that carried the debate/forum live or tape-delay:
Do you have photos available? Yes No (NAB will contact you about the photos)
Comments:
* Indicates a required field
