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Talent Request
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* Indicates required question
Contact Name:
*
Your answer
Phone Number (day):
*
Your answer
Phone Number (night):
Your answer
Organization/Event Website:
Your answer
Agency Name:
*
Your answer
City/State/Zip:
*
Your answer
Email Address:
*
Your answer
Event Name:
Your answer
Event Day/Date:
*
Your answer
Event Time:
*
Your answer
Event Location:
*
Your answer
Brief background of organization/event:
*
Your answer
Proceeds Benefit:
Your answer
Expected Attendance:
*
Your answer
Name of WPTV personality:
*
Your answer
Anchor/Reporter/Meteorologists responsiblities:
*
Your answer
Appearance Start Time:
*
Your answer
Appearance End Time:
*
Your answer
Do you need?
Talent Biography:
Talent Photo:
Both:
Indicate a deadline date for receiving a response from WPTV
*
Your answer
Dress Attire for event is:
*
Casual:
Business:
Cocktail:
Required
Parking information for the day of the event:
*
Your answer
Directions to event from WPTV, 1100 Banyan Boulevard, West Palm Beach:
Your answer
Comments
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Contact Me?
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Are you at least 13 years of age?
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