A r c h i v e d  I n f o r m a t i o n

U.S. Department of Education

SATELLITE TOWN MEETING
FAX REGISTRATION

Please register your community's participation in the Satellite Town Meeting by completing this form and faxing it to (202) 401-0689. If possible, please provide the name, phone number, and address of someone who can answer questions from the public about your local downlink site event or broadcast. If you have any questions about this form, please call 1-800-USA-LEARN.

   Name:_____________________________________________________    Organization:_____________________________________________    Address:__________________________________________________    Phone Number:_____________________________________________    Fax Number:_______________________________________________
If you plan to participate via a downlink site/facility, will you:

    _____ view the program live     _____ tape (for later use)     _____ both

FOR TELEVISION BROADCASTS ONLY
Will the Town Meeting air on one of the following television outlets?

  __ education access station __ government access station    __ public access station    __ cable operator/MSO    __ PBS member station       __ school/district-wide                                   TV network   __ other

Will the Town Meeting air: 

  _____  live   _____  rebroadcast   _____  (rebroadcast time/date) _________   _____  other
  • How can people from your community find out about your rebroadcast schedule (Ex., local newspaper, bulletin board, call station)?
  • Please list cable company and/or channel on which the Town Meeting will air:

    THANK YOU!


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    Last Updated -- January 20, 1998, (mb)