CITIZENS T ELEVISION, I nc. P ROGRAM P ROPOSAL F ORM
(This r elease m ust b e s ubmitted p rior t o p roduction o f s how)
2666 S tate S t. S uite # 4
Hamden, C T 0 6517
Tel: 2 03.562.2288
Fax: 2 03.562.0864
Program N ame: _ _____________________________________________________________________________
Running T ime:___________ D VD F ormat:_____________________ S ingle:______ S eries:_________
Producer’s N ame:____________________________________________________________________________
Address:_______________________________________________________________________________________
Phone ( Day):_______________________ ( eve):________________________ O ther:___________________
Requested A ir T ime & D ates:________________________________________________________________
Assigned A ir T ime & D ates:____________________________________________ C hannel:___________
Program
Description:___________________________________________________________________________________
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Footage A pproval D ate:_________________________________(Aprox. 1 m onth a fter p roposal)
Production S chedule: A t ypical ½ h our p rogram s hould b e c ompleted 1 ( one) m onth
from t ime o f p roposal, a 1 h our s how w ithin 6 w eeks. A t t he t ime t he p roposal i s
submitted a n a ppointment w ill b e s cheduled w ith t he C TV P rogram D irector t o
discuss t he p rogress o f t he s how a nd t o r eview t he f ootage. F ailure t o m eet w ith
these r equirements c ould l imit y our p rivilege t o u se t he f acilities a nd e quipment a t
Citizens T elevision.
Producer’s S ignature:______________________________________________________ D ate:___________