WBCTV Program Duplication Request Form


West Bend Community Television Program Duplication Request Use only for programs produced for West Bend Public, Educational and Governmental Access Channels 98 and 99. Fee - $10.00. You will be notified when your copy is ready. All fees need to be paid when you pick up your copy(s).

* Indicates a Required field:


First Name*:
Last Name*:
Date of Request * :
Program Name * :
Air Date :
Air Time and Channel :
Number of Copies Ordered * :




West Bend City Hall
1115 S. Main Street
West Bend, WI 53095
(262) 335-5100