Easthampton Media Cablecast Form
First Name *
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Last Name *
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Street Address *
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City/Town *
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Phone Number *
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Email Address *
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Program Title *
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Short Program Description *
This will go in the description on our YouTube channel if you produced this content with Easthampton Media equipment. If content was produced independently, a short description will help us find a good time slot to air on our channels.
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Did you utilize any Easthampton Media equipment or facilities in the production of this program? *
If you have used equipment or facilities in the production of your piece, Easthampton Media will distribute the material in our online Video On Demand Library on YouTube as well as broadcast on our local cable TV channels.
If you did create this video with Easthampton Media resources, please enter KEYWORDS describing your video, separated by commas
This will help the search engine on our website find your video. Include your name in these keywords! (Ex: John Snow, king, winterfell).
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What was your role in this program? *
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Is there any copyrighted music, adult content or foul language that we should be aware of? *
All content for broadcast on Easthampton Media must follow FCC guidelines, you must have secured proper written permissions to use copyrighted material, and adult content will be shown during safe harbor hours.
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Cablecast Agreement
I hereby agree to sponsor the program identified in this form. I understand that I am responsible for the presentation of this program or series. I agree to hold harmless Easthampton Media, its directors and employees, the City of Easthampton and the town of Southampton from any liability, loss, claim, cost, or damage or any nature whatsoever which may arise by reason of any claim that any material distribution infringes or violates any rights of any person or organization.

The program or series meets the technical and content requirement and limitations of Easthampton Media as set forth in the Easthampton Media Rules and Procedures -
http://easthamptonmedia.org/wp-content/uploads/2017/03/2015-EM-rules-Procedures.pdf

I have obtained all necessary release forms and rights for the program or series content. I confirm that I am the individual or legal guardian of the individual whose name appears as the submitter of this document.

I understand a paper copy of this document can also be submitted at the Easthampton Media station in lieu of electronic submission.

I also understand that the electronic submission of this form constitutes a legally binding agreement with Easthampton Media, and that I knowingly submit and electronically sign this document.

Do you agree to the Cablecast Agreement above? *
Easthampton Media cannot broadcast your content if this statement is not agreed to. Please contact us with any questions 413-203-1360
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