PEP Electronic Affidavit

ADOL
ALDOT
AHFA
BICENTENNIAL
DHR
PALS

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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