Citizen Commentary (CITCOM) Request Form

GNAT-TV produces CITCOM as an opportunity for anyone in our service area to present an opinion on any topic.

If you wish to record a commentary, please complete this form.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

While the CitCom program is open to all voices, GNAT reserves the right to refuse submissions deemed libelous, indecent, unlawful or that do not meet community standards*

I Understand

We recommend the use of GNAT's teleprompter. Please email a script to production@gnat-tv.org two business days prior to scheduled recording date. If you need to revise the script, the shoot may have to be rescheduled*

I Understand

I hereby assign to Greater Northshire Access Television, Inc. (operating as: GNAT-TV) all rights worldwide and in perpetuity to the recording and/or taping of my appearance by means of the videotape, SD card capture, still photography and audio record made on this date, and I hereby further authorize the reproduction, copyright, sales,exhibition, cablecast, webcast and/or distribution of said videotape by Greater Northshire Access Television, Inc. or its producer(s), agent(s) or assignee(s)without limitation. I understand that permission allows GNAT-TV, its producer(s), agent(s), or assignee(s) to distribute the production and/or excerpts from the production, and I understand distribution may include broadcast, video contests, internet, other access stations, print publicity and any distributions available to this producer and GNAT-TV. I further agree to release, discharge and indemnify GNAT-TV, including its representatives,producers, agents or assignees, from any legal proceedings or claims that may arise in relation to the conditions stated above. *

I Understand

Once you have submitted this form, we will contact you within five business days to schedule a recording date for your Citizen Commentary. Scheduling is based on studio availablity.