ࡱ>  1bjbj "~jjvl  84 &I` ^tttO c%*X>>>>F?ToCTG$J LdG g,OOg,g,G/ ttH///g, t t>N/g,>//0: ;tT [ -e;;H0&Iw;Z*M-*M;/  AGREEMENT FORM FOR NON-CANDIDATE / ISSUES ADVERTISEMENTS Station and Location:  FORMTEXT       Date:  FORMTEXT       I,  FORMTEXT      , hereby request station time as follows: Date of BroadcastClass of TimeTime of Day, Rotation or PackageLengthRate FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       This airtime will be used by: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       This airtime will be used to address the following issue(s):  FORMTEXT       Does this programming (in whole or in part) communicate  a message relating to any political matter of national importance, including a legally qualified candidate, any election to Federal office or a national legislative issue?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If the answer to the foregoing question is yes, then a copy of this completed request must be retained by this station and made publicly available. I verify that payment for the above-described broadcast time has been provided by:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       If the payor for this broadcast time is any entity other than an individual person, below are the names, addresses and offices of the chief executive officers or members of the executive committee or members of the board of directors of that entity. (A separate list may be attached if necessary or more convenient.)  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       If the undersigned is not the appropriate contact person for the advertiser, please provide the name, address and phone number for such contact person:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       For each program or advertisement, the sponser agrees to deliver an accurate script or tape to the station at least  FORMTEXT       FORMTEXT       hours before the scheduled time of the first broadcast. The advertiser agrees to indemnify and hold the station harmless for any damages or liability, including reasonable attorney s fees, that may ensue from the broadcast of the requested announcement(s).The station reserves the full right, in its sole discretion, to reject any material or to require that it be modified prior to broadcast. All broadcasts must identify the sponsor (by name, address and phone number or World Wide Web address) and either name a candidate authorizing the broadcast or state that the broadcast is not authorized by any candidate. In addition, any such broadcast concerning a federal candidate or soliciting contributions to influence federal elections must state:   FORMTEXT       FORMTEXT       FORMTEXT       is responsible for the content of this advertising; with the blank to be filled in with the names of the payor and any connected organizations. A television spot must accompany the audio statement with at least a four second full-screen view of a representative of the sponsor and the printed text of the statement using well-contrasted letters at least 4% of screen height. 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