NAB Form PB-18 Candidates

AGREEMENT FORM FOR
POLITICAL CANDIDATE ADVERTISEMENTS

(check applicable box)
81 FEDERAL CANDIDATE

El 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:

We a





Date:

 



Z?f-?a

 

 

I, National Media Research, Planning, and Placement

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

political party for the of?ce of:
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

 

 

Time of 
Broadcast Day, Times per Number 0
Length Rotation or Days Class Week Weeks
Package
See Schedule See Schedule See Schedule See Schedule See Schedule See Schedule

 

 

 

 

 

 

 

Attach proposed schedule with charges (if available): Oif 7-

 

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

1

 

 

NAB Form PB-18 Candidates

I 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. I
represent that 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 Sig ndtu re
To Be Signed By Station Representative
Accepted Accepted in Part Rejected
72 (M Ma Manama 6 3m
Signature Printed Name Title

Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed
2

NAB Form Candidates

FEDERAL CANDIDATE CERTIFICATION

 

 

in Order For Federal Candidates To Receive The Lowest Unit Charge
During A Political Window, The Following Certification Is Required:

 

 

The Richard Burr Committee

(name of federal candidate or authorized committee) hereby certify that the
programming to be broadcast (in whole or in part) pursuant to this agreement:

?does El does not

 

refer to an opposing candidate (check applicable box). I further certify that for the
programming that does refer to an opposing candidate:

(check applicable box)

the radio programming contains a personal audio statement by the candidate that
identi?es the candidate, the of?ce being sought, and that the candidate has approved
the broadcast.

the television programming contains a clearly identi?able photograph or similar
Image of the candidate for a duration of at least four seconds, and a simultaneously
displayed printed statement identifying the candidate, that the candidate approved the
broadcast, and that the candidate and/or the candidate's authorized committee paid for
the broadcast.

committee

printed name date

Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed
3 .