E
Local Contact E-mail Address: ____________________________________________________
Local Fax Number: _________________________________________________________________________
11.
Previously aired on MHz (WNVC):
Yes
No
12.
Reason for leaving MHz (WNVC) if aired previously:
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
13.
Current Contract with MHz (WNVC):
Yes
No
14.
Previous non-PBS Broadcast/Distribution:
Yes
No
If so, Where: __________________________________________________________________
Dates: __________ - __________
15.
If proposal is accepted, address where viewers may contact the show or send comments:
Street: __________________________________________
__________________________________________
City:
____________________ State: _________
Zip:
____________________ Country (if not USA): __________
Phone: __________________________________________
Fax:
__________________________________________
Email:
__________________________________________
Web Site: __________________________________________
Underwriting
All underwriting must be submitted for approval and delivered in advance of program approval.
1.
Does this series/program/filler contain underwriting?
Yes
No
2.
If so, please list all confirmed underwriters for this program:
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
Name: _______________________
$____________ For: ____________
