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Programming Request Card

Tell Us What You Need.

Share your station, audience, programming goals, preferred format, and agreement preference. We’ll review the opportunity and determine the best programming fit.

Contact + Outlet

Contact Name

Email

Phone

Station / Outlet Name

Call Letters / Platform Name

Primary Market / City

Media Type

Audience Target

Primary Audience

Primary Goal

Audience Notes

Programming Format Requested

15-second mention 30-second mention 60-second host read 2–3 minute feature 5–7 minute segment 10–15 minute segment 30-minute special 60-minute special Recurring weekly segment Limited series Custom show concept Live audience activation

Schedule + Delivery

Preferred Time of Day

Delivery Type

Desired Start Date

Frequency

Agreement Preference

Standard 33% Media Share 50/50 Partnership Pilot / Test Run Custom Agreement

Agreement / Contract Notes

Programming Need

What would you like us to provide?

Submission does not guarantee approval or partnership. Programming requests are reviewed for audience fit, timing, delivery requirements, and agreement structure.

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