ACTV Bulletin Board Request

2. Please Note:
   - ALL messages must be received at least two weeks prior to the scheduled air date.<br> - 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.<br> - ACTV will not air any political, personal, commercial or any information used for profit or sales.

   - 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.

   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

Leave This Blank:


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

    This field is not part of the form submission.

21. Submit

* indicates a required field