Program Application Form
We Act Toledo LPFM Radio WAKT 106.1
Contact Information
Name of Host(s)
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Phone number(s)
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E-mail address(es)
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Mailing address(es)
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Show Information
Title of Program
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Type of show
Frequency of show
Length of show
Preferred air time
Show description
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Would your show need to...
...be broadcast live?
...accept call-ins?
...broadcast at remote sites?
Please describe any broadcasting or media experience you may have
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