WSMV Surprise Squad

Surprise Squad Nomination
Nominating Yourself
Name*

First NameLast Name
Phone*

Area CodePhone Number
Address*

Street Address or P.O. Box

PO

CityState / Province

Postal / Zip CodeCountry
Best Time of Day to Contact You*
Why You Deserve To Be Surprised*
Nominating Someone Else
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nominee's Name*

First NameLast Name
Nominee's Address Where The Squad Will Be Most Likely To Find Them*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Best Time Of Day To Find Them At Address Provided*
Why Your Nominee Deserves To Be Surprised*
Mail

You can also mail your nomination or idea to:

News 4 Surprise Squad
Attn: Promotions
5700 Knob Road
Nashville, TV 37209
Client and partners have read Gray Local Media, Inc.'s Standard Terms and Conditions at http://gray.tv/terms.pdf and agree to those terms in full.
I agree to the Terms and Conditions.*

Yes
Should be Empty:

Surprise Squad Nomination