NAB Form PB-18 Candidates

AGREEMENT FORM FOR
POLITICAL CANDIDATE ADVERTISEMENTS

(check applicable box)
Bl 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:

We ct- No

Date:

 

mar/e

 

 

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 (yew/4 ?led?ran

in the

a II - u?
election to be held on: Movie/0404?s 20%

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??\ [pl/f I 7 50 M6 1/

 

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

1

 

 

NAB Form 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 DOES NOT DISCRIMINATE OR PERMIT ON THE
BASIS OF RACE OR ETHNICITY THE PLACEMENT OF 

To Be Signed By Candidate or Authoriz Committee



 

 

 

 

Date Sig ndtu re
To Be Signed By Station Representative
El Accepted Accepted in Part El Rejected
-Signature Printed Name Title

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

NAB Form PB-18 Candidates

FEDERAL CANDIDATE CERTIFICATION

 

 

ln 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:

 

El does 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)

El 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.

El 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.

game/321,91 Kw atom

signag?re of candidate or a thoriz?? committee

new

printed name date

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

NAB Form PB-18 Candidates

  
   

NLY lF STATION DOES NOT ACC ALL OF


(TO BE FILLED

     

 

Time of Day,
81:13:? Rotation or Days Class Thales wair Of
Package as ee 3

 



 

 

 

 

 

 

 

 

Attach proposed schedule with charges (if available): j} 5 6 0 . Gil/099

 

AFTER AIRING OF BROADCASTS:

Attach invoices or Schedule Run Summary to this Form showing:

1) actual air time and charges for each spot;
2) the date(s). exact time(s) and reason(s) for if any; and
3) the amount of rebates given (identify exact date. time. class of broadcast and

dollar amount for each rebate), if any.

 

 

Note: Because the FCC requires that the political file contain the actual times the spots
air and the rates charged, that information should be included in the file as soon as
possible. If that information is only generated ?le should include the name
of a contact person who can provide the times that specific spots aired and the rates
charged. The online political ?les include a folder for ?Terms and Disclosures."
NAB suggests that, for stations subject to the online public file rule, the names of
contact person(s) be placed in that folder.

 

Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed
4