PEP Electronic Affidavit

AL Army National Guard
AL Dept. of Veteran’s Affairs
AL Electronic Security Board of Licensure
Alabama Works
AL Dept. of Labor
AL Housing Finance Authority
AL Bicentennial Committee
DHR

Month:
Station:
Format:
City:
Number of Spots Run:
Spot Rate $:
Total Run $:
Please complete this section if spots were simulcast on additional radio
stations or digital TV channels:
Simulcast radio station or DTV channel #1: No. of spots run: 

Total run $: 

Simulcast radio station or DTV channel #2

No. of spots run: 

Total run $: 

By:
Title:
Email:
Alabama Broadcasters Association • 2180 Parkway Lake Drive • Hoover, AL 35244
office 205-982-5001/800-211-5189 • fax 205-982-0015 • email: Niki Thomas

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