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Community Message Board Submission Form

2. Name / Contact Person*

3. Organization (If Any)

5. Street Address*

6. City, State, Zip Code*

8. Email Address*

10. Email Confirmation Needed?*

    1. Yes
    2. No

11. Phone: include area code, no hyphens, no spaces*

13. User ID (Provided by MCTV Upon Payment of $25 Annual Fee)*

14. Date to Stop Message (Message Will Start Displaying 14 Days Prior to This Date)*
    Date to Stop Message (Message Will Start Displaying 14 Days Prior to This Date)

16. Please be as brief as possible and include the following information: organization, activity, location, date, time, and phone number.*

    160 character limit (Message will appear as 6 lines < or = 26 characters per line)

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field