PUBLIC SERVICE ANNOUNCEMENT FORM
LogOn
Productions, LLC
Community Information Television
All Community Information Bulletin Board Submissions:
1st week - No Charge
2+ weeks - $60 per wk
Monthly - $195 per mo
Must be on this form
Must be no longer than 30 characters per line.
Must be no more than 8 line
Must be received 1 week prior to run date
Placed By:
Email:
Organization:
Phone:
Address:
 
Start Date:
End Date:
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By signing this form I warrant to CITV5; LogOn Productions, LLC that I am authorized to place this announcement and I relieve CITV5; LogOn Productions, LLC of any and all liabilities, claims, damages, etc. that may result from the broadcasting of this announcement on cable channel 5. Placement and length of broadcast is subject to availability. This form is for the purpose of information only and does not constitute an offer on the part of CITV5; LogOn Productions, LLC. Rates are subject to change without notice. CITV5; LogOn Productions, LLC reserves the right to refuse any announcement for any reason.