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Briargate Media
Resources Request Forms
 

Station Information

Call Letters / Station Name:*
Frequency Numbers:*
Station Slogan:*
Network Affiliation:
Listening Area / Market:
Contact Information
Station Contact:*
Contact Title:*
E-Mail Address:*
Street Address:
City:
State:
Zip / Postal Code:
Country:
Contact Phone Number:*
(Include area or country code)
 

Sharathon, Anniversary and/or Program Request Due Dates

Month

Due Date

March February 4
April March 4
May April 1
June May 1
July, August June 5
September August 5
October September 4
November October 2
December November 4
January 2014 December 3
 

Special Notes

 
 
 

Promotional / Giveaway Request

For Sharathon on Liners AND Giveaways, please use the
"Custom Sharathon, Anniversary, Program Liners Request" Form
Giveaways
Event Dates:
Event Description:*
Expected Attendance:
Giveaway Type:
(Check all that apply)		 for Adults
for Teens
for Children