NAB Form PB-18 Candidates

AGREEMENT FORM FOR
POLITICAL CANDIDATE ADVERTISEMENTS

(check applicable box)
FEDERAL CANDIDATE

CANDIDATE

 

To Avail Themselves Of The Lowest Unit Charge During A Political
Window, Federal Candidates Must Sign The Certification On Page 3

 

 

 

 

Station and Location:

No

Date:

 

lO-?Il-Ho

 

 

National Media Research, Planning, and Placement

being/on behalf of:
a legally qualified candidate of the

political party for the office 0
North Carolina Primary

March 15th, 2016

in the

election to be held on:

do hereby request station time as follows:

The Richard Burr Committee
US Senate
Republican

 

Broadcast
Length

Time of
Day.
Rotation or
Package

Days

Class

Times per
Week

Number of
Weeks

 

See Schedule

 

See Schedule

 

See Schedule

 

See Schedule

 

See Schedule

 

See Schedule

 

 

Attach proposed schedule with charges (if available):$ I 

 

Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed

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NAB Form PB-1B Candidates

represent that the payment for the above described broadcast time has been furnished
by:
The Richard Burr Committee

and you are authorized to announce the time as paid for by such person or entity. 

representthat this person or entity is either a legally quali?ed candidate or an
authorized committee/organization of the legally quali?ed candidate.

The name of the treasurer of the candidate?s authorized committee is:
Timothy W. Gupton
This station has disclosed to me its political advertising policies. including: applicable

classes and rates; and discount, promotional and other sales practices (not applicable
to federal candidates).

THIS STATION DOES NOT DISCRIMINATE OR PERMIT DISCRIMINATION ON THE
BASIS OF RACE OR ETHNICITY IN THE PLACEMENT OF ADVERTISING.

To Be Signed By Candidate or Authoriz Committee

 

 

Date /ndtureSig
To Be Signed By Station Representative

WW El Accepted In Part Rejected
nI?u/ EMS NS Pi

Signature Name Title

Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed
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