Harford Cable Network

HCN Application for Production/Cablecasting

Use this form if you wish to use the HCN facilities to cablecast a prerecorded video tape, produce a program to be cablecast, or to produce a non-cablecast program. Review the Bylaws and the Client Rate Card, prior to filling out this application. Please attach a script and a complete list of participants.

*Required Field
*Organization:

*Email:

*Producer/Coordinator:

*Address:

City:

State:	*Zip:

*Phone (Day):	Phone (Evening):

Purpose of this program: (CHECK ONE) Cablecast Program (pre-produced) Production - established program or new program (cablecast) Production - training (non-cablecast)
Target Audience:

Brief Summary of this Program:

Length of Program: hours minutes
Live	Videotape
Requested date and time of Production:
/ / at pm
Alternate Choice:
/ / at pm
Requested date and time for Cablecasting:
/ / at pm
Alternate Choice:
/ / at pm
I have read and have complied with the Bylaws and Client Rate Catd.

PLEASE STOP HERE! In order to submit this form, you must do the following: First: Click "Submit" at the bottom of this form. This will send an Unofficial advance notice to the HCN Staff. Second: After click the submit, the next page will show the information you just submitted. Please print the page, and mail the signed copy to HCN at the address: Harford Cable Network 399 Thomas Run Road Bel Air, Maryland 21015
The following fields are for HCN Staff Use only.
Request Received:	Confirmation returned:

Tape received:	By:

Tape received:	By:

Tape returned:	To:

ESTIMATE/CHARGES (as per rate card)
	$
	$
	$
	$
	$