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 Entry Form

2007 Radio/TV Awards Entry Form

(This form should list ALL ENTRIES from a station in each division.  Only one form needs to be included regardless of number of entries.  Stations entering student entries should place those entries on a separate awards entry form.  All tapes or CD’s must be clearly labeled to include: station name, division, category and title of entry or entries included.)

Name: Title:
Station/School: Phone:
Address:
City/State/Zip:
News Director:
Total Number of  Entries: Fees Enclosed:
Credit Card # (Visa/MC Only):
 Expiration Date:

RADIO ENTRY MARKET SIZE TV ENTRY MARKET SIZE

Large
Large

Medium
Medium

Small
Small

Student
Student

Category
 Title of Entry
 Air Date(s)
 Length



























To register, send completed form and check payable to NBNA (Northwest Broadcast News Association), to: NBNA Radio/TV Awards, P.O. Box 838 Sturgis, SD 57785.