CITY OF MAQUOKETA ACCESS CHANNELS

CHANNELS 18 & 19

PROGRAM CONTRACT

Any program submitted for scheduling must be accompanied by a signed Program Contract. A Statement of Compliance must be on file for anyone submitting a program. Any minor must have an adult co-signer.

THE PARTY SIGNING THE PROGRAM CONTRACT ASSUMES LIABILITY
FOR PROGRAM CONTENT AND TECHNICAL STANDARDS.

_____________________________________________________________

Print program title Date _____________________________

This program is: Local Gov’t Access: __ Educational Access __ Public Access__

Was the program produced locally? Yes __ No __

Program type: Arts___ Cultural ___ Entertainment___ News___

Public Affairs ___ Religious___ Sports___ Other __

What are your programming preferences, if any? (Please Note: This is subject to change and there are no guarantees.)

Time: ____________________________ When: ___________________________

Name of Producer/Provider: ______________________________________________

Address: _______________________ City/State/Zip: _______________________

Phone (Home & Work) ____________________ Date Event Happened:_________

Organization and phone: _________________________________________________

I hereby attest that this program does not contain the following:

1. any advertising or material that promotes any commercial product, service or lottery
2. any unlawful use of copyrighted material
3. any material that contains libel, defamation of character or is an unlawful invasion of privacy
4. any solicitation or appeal for funds
5. any material that violates state or federal law relating to obscenity
6. any material that violates local, state or federal law
7. any material that violates the Maquoketa Access Channels Guidelines

After what date would you like to pick this tape up? _______________________

Please write a brief description of your program:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

I have read and understand the Maquoketa Access Channels operating rules.
I certify that the program submitted has neither obscenity nor any commercial material. I assume full and complete responsibility for the program’s contents. I further understand that I assume responsibilities for any disputes arising
from my unauthorized use of copyrighted material.

I agree to hold Maquoketa Access Channels and any of its employees, officers, Board of Directors, stockholders, etc. harmless from any and all liability or injury arising from my use of the access channel for any damage arising from such use, including copyright infringement. I understand that Maquoketa Channels are not responsible for damage to tapes while they are cablecast.

I have read and agree to comply with Maquoketa Access Channels Guidelines. I have a Statement of Compliance on File.

Provider/Producer signature: ________________________ Date: ___________

Parent/guardian of minor: ___________________________ Date: ___________

Maquoketa Access Channels reserves the right to discard or erase videotapes that have not been picked up within (30) days of original cablecast date.

Maquoketa Access Channels reserves the right to record and retain any LIVE transmission using Maquoketa Access Channels equipment or services.

PLEASE MAKE SURE ALL TAPES ARE LABELED WITH THE:
TITLE
PRODUCER’S / PROVIDER’S NAME
PHONE NUMBER AND
THE PRODUCTION DATE