Personal Information:
NAME of PERSON/STUDENT submitting announcement :
E-MAIL ADDRESS of person/student submitting announcement:
PHONE NUMBER: (optional)
NAME of CLUB/EVENT:
Production of commercial:
We are producing our own commercial. (Please submit on DVD or mini-DV tape.)
We wish to pay WPAW for producing the commercial for us for $10. The debut of this commercial on WPAW will be free. Each additional broadcast will have the following rates apply.
Please choose time length of commercial:
Length Price 15 Sec $2.00 each time it airs 30 Sec $5.00 each time it airs 31 - 60 Sec $10.00 each time it airs 61 - 90 Sec $15.00 each time it airs
How many times do you wish your commercial to air?
DATE(S) requested for video commercial to air: (please give 3 day notice)
Has this commercial (if producing your own) been viewed and approved by your sponsor?	Yes No
Who is your sponsor?
If you wish WPAW to produce this commercial, please submit idea / concept below, and a contact person with cell number or e-mail address in space below. Please give us ample time (2 weeks) to discuss idea with you, videotape the footage, and edit the commercial.
If you are submitting a self-produced commercial, please write any instructions or comments below: