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Become an Affiliate Today!

Check the statements that apply.

Yes! Our Station(s) will carry TEXAS STORIES.       (Clear Button)
 
We have received a DEMO CD by mail.    yes       no
We auditioned TEXAS STORIES online. Please mail our station an Information Packet.    yes       no
 
Please provide the following Station Information.
(Enter NA for Not Applicable where appropriate.)
   
Name
Position
Station Calls
Frequency
Format
General Manager
   
Street Address
Address Line 2
City
State
Zip
   
Preferred mailing address for receiving Program CDs
(if different from above).
Address
Address Line 2
City
State
Zip
   
Contact Email
Phone
Fax
Station Website
   
The best way to contact me in the future is by:
       phone       email
   
Sister Stations
These Sister Stations will also broadcast TEXAS STORIES.
(Please enter Calls, Frequency, City and Format on same line.)
Station 1
Station 2
Station 3
Station 4
   
Does your Station currently have a subscription to Texas Highways?
    yes      no      don't know

(If yes, we will have it changed to a Gift Subscription.)

   
Please provide any comments you might have about the show. We'd like to share them with potential sponsors. Thanks!

   
After we receive your form, we will contact you by phone or email, as requested.
Thanks for joining us!

Note: If TEXAS STORIES does not secure adequate funding, your station is under no obligation to air the progam. This form is a notice of intent, not a binding agreement, to broadcast our Weekday Series and does not pertain to any future TEXAS STORIES programming currently in development. A Broadcast Agreement will be forwarded to your Station for your review and approval prior to the TEXAS STORIES launch date.

   
Please click "submit" to complete this form.

   
 

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