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Springfield TV Announcement Request Form

2. City of Springfield Cable TV - Public Access Channels
   Community Bulletin Board
   <br>Phone: 615-382-2200<br>Fax: 615-382-1612

   
   Phone: 615-382-2200
   Fax: 615-382-1612

4. Please complete all sections.

6. Subject

7. Date
   Date

9. Contact Name

11. Phone Number

12. Email

14. General Description

    Please use 40 words or less.

16. Run ad until this date
    Run ad until this date Start Date

    —

    Run ad until this date End Date

    Maximum of 30 days

18. Note: The City of Springfield does not condense material for the bulletin board. Please adhere to the 40 word limit. Ads are limited to non-profit, non-political and non-religious functions. All notices are subject to approval before airing.

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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field