2. Please Note:
   - ALL messages must be received at least two weeks prior to the scheduled air date.
   - ACTV assumes no responsibility for the accuracy of the copy received. If you wish to renew the message after 4 weeks you must submit a new form.
   - ACTV will not air any political, personal, commercial or any information used for profit or sales.
4. Instructions:
   Use one space for each letter, number or space between words. Each item of punctuation also requires a space. Please do not exceed 300 characters.
6. Full Name
8. Organization
9. Title
11. Phone Number
12. Email
14. Start & End Date
    Start & End Date Start Date

    —

    Start & End Date End Date
16. Headline of Announcement
18. Description of Event
    Write a short description of your event or announcement i.e. what, when, where and contact info. Remember to please not use all CAPS and stay to a maximum of 300 characters
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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