WGLT TV 7 ~ GREENE LOCAL ACCESS TV CHANNEL

 

Phone: 946-5146   220 Main Street P O Box 510 Greene, Maine 04236-0510

Fax: 207-946-2102

 

Bulletin Board Application and Information

 

Organization Name __________________________________________________

 

Contact Person ______________________________________________________

 

Address ___________________________________________________________

 

Telephone _______________________ Email Address ______________________

 

 

Requested Run Dates:  Start:   Date _____________                      Until:   Date ______________

 

Information for Display: (Must include “For More Information” [fmi]  Telephone Number)

 

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

I hereby represent that I am an authorized person from the above organization and have the capability of authorizing this information to be displayed on the Greene Local Access Television Channel (WGLT TV7). Furthermore, I hold the volunteers harmless for failure of display, errors in display, other acts, or omissions that prevent this information from being displayed on the requested days and dates.

 

I understand nothing will be displayed which contains for profit information.

 

Signature __________________________________                         Date  _____/_____/_____

 

Office Use Only

 

Date Received ____/_____/_____ Received by ____   Authorization   Dates   Content

Date Put on Channel _____/_____/_____                                Posted By ___________

 Date Removed from Channel _____/_____/_____                 Removed by __________