All fields are required.

Name of Organization:

Street:

City, State, Zip:

I/we accept full responsibility for the bulletin submitted for broadcasting on the Bulletin Board of the Borough of Oakland. I, individually and on behalf of the Organization listed above, hereby agree to indemnify and hold harmless Operator and its partners, affiliates, officers, directors, employees, and agents from and against liability, damages, and expenses (including legal fees) arising out of any and all claims incurred as a result of broadcasting this Bulletin. I/we acknowledge that Operator shall not be liable to me/us for any failure of Operator to broadcast this Bulletin as scheduled, whether because of the breakdown of equipment or any other reason.

Contact Person:

Phone No:

Please fill out the form below with the applicable information.  For editing purposes, the Bulletin Board coordinator reserves the right to make changes, deletions, corrections, or additions as is necessary in order to maintain reasonable standards of clarity and good taste.  Forms must be submitted at least three (3) weeks prior to the date you want your message to begin airing on the bulletin board. This allows us one week to process your request and two weeks of airtime for your request.  The maximum airtime for this agreement is two (2) weeks.

Type of Event:

Date of Event:

Time of Event:

Where Event to be Held:

Event Contact Person:

Contact Phone:

Email:

Include on Boro Web Site:

  Yes       No     

Additional Info:
Ticket prices, web link, special instructions, etc.
(maximum 400 characters)

 

Date to Begin Airing:

 

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