WBCTV Program Duplication Request Form

WBCTV

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*:
Email*:
Phone*:
Address*:
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