WCAX Community Partners

Name*

First NameLast Name
Email*
example@example.com
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
What is the name of the event?*
Will WCAX-TV be the exclusive TV sponsor for this event?*

YesNo
What is the average attendance of your event?*

Under 500500-10001000+
Do you have a commercial / PSA*

YesNo, I need one produced
If you have a website, please provide its address
Please describe the event...*
What is the date of your event?*

MonthDayYear
Date
What, if anything, would WCAX-TV receive for its in-kind donation?*
What is your total advertising budget? Please include any print, radio or digital advertising you are planning to do.*

$0-$500$500-$2500$2500-$5000$5000+
Terms and Conditions

I have read, understand, and agree to the Terms of Service and privacy policy.
Please enter your date of birth.*

MonthDayYear
You must be at least 18 years of age to submit this form.
Please verify that you are human*
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