Studio Reservation Form Your Name (required) Address * City * State * Zip * Email * Phone1 Phone2 Show Title: 1. I want to produce my program: Bi-weeklyMonthlySpecific months only 1.a. If specific months only, which ones? 2. I want my program to be taped (not "live") YesNo 3. I want my program to be "live" with call-ins: YesNo TIME SLOTS Make one of the time slots your first choice, another your second choice, and a third time slot - your third choice. Your program can be 30 or 60 minutes long. (These are not the times that your program will be on Channel 27, 28, 30 or 75.) 4. Your preferred time slots: 123 "Mon. Arrive at 5:30 PM and Depart at 8:00 PM" 123 "Mon. Arrive at 8:00 PM and Depart at 10:30 PM" 123 "Tue. Arrive at 5:30 PM and Depart at 8:00 PM" 123 "Tue. Arrive at 8:00 PM and Depart at 10:30 PM" 123 "Wed. Arrive at 5:30 PM and Depart at 8:00 PM" 123 "Wed. Arrive at 8:00 PM and Depart at 10:30 PM" 123 "Thur. Arrive at 5:30 PM and Depart at 8:00 PM" 123 "Thur. Arrive at 8:00 PM and Depart at 10:30 PM" 123 "Fri. Arrive at 5:30 PM and Depart at 8:00 PM" 123 "Fri. Arrive at 8:00 PM and Depart at 10:30 PM" ] Additional Notes: (Sometimes people want to “go live” for only specific dates, or want a double timeslot, or want to schedule during a particular part of a month, etc. …) Image Code: