STATIONS: Please use the online form below to complete your required monthly affidavit.  Once you have filled out the form, click "Submit Query" to send it to us.  Thanks as always!

Program:

Month/Year:

Station:

City/State:

Email:

First airing: (time)

Number of people listening at time of first airing?

Second airing: (time)

Number of people listening at time of second airing?

Use the box below to list any days and times you pre-empted The 60 Second Checkup:

 

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Last modified: 03/21/04.