PROGRAM INQUIRY FORM

Name

Primary Phone #

Ministry Name

Program Name

Desired Length of Program (15 min.) (30 min.) (60 min.)

Number of Days Per Week (1x per wk/ Mon-Fri) (1x Weekend/Sat or Sun) (5x per wk/M_F)

Desired Start Date

Do You Have a Pre-Recorded Program Available in MP3 Format to Submit for Review?

YES NO

Are You Able to Pre-Record and Submit Program Content?

YES NO

Would You Need Our Assistance to Record Program Content?

YES NO

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