NAB Form Candidates

AGREEMENT FORM FOR
POLITICAL CANDIDATE ADVERTISEMENTS

(check applicable box)
FEDERAL CANDIDATE

EI 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:

New"

LI 

Date:

 

 



 

I. National Media Research, Planning, and Placement
being,on behalf?: The Richard Burr Committee

a legally qualified candidate of the US senate

political party for the office of: RepUblican
mm North Carolina Primary

election to be held on: March 15th? 2016

do hereby request station time as follows:

 

Broadcast
Length

Time of
Dav.
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): 4

 

MET

 

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

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NAB Form P848 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 legaily 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 0R ETHNICITY IN THE PLACEMENT OF ADVERTISING.

To Be Signed By Candidate or Authoriz Committee

Qatar/2e 
Date Sig na?tu re

To Be Signed By Station Representative

 

 

 

 

El Accepted in Part Rejected
Yen Lip/14; n8 N59
Signature Printed Name Title

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