Television Membership Application If your station holds an FCC License, please complete the form below. If not, your business or organization is considered an Associate Member. Station Name * City * State * Zip * City of License * Phone * Station Website Station Information Station * Channel (include digital and HD) * Network Affiliation * Market/ADI * Station * Channel (include digital and HD) * Network Affiliation * Market/ADI * Station Contact Information Owner * Owner Email * General Manager * General Manager Email * GM’s Assistant * GM’s Assistant Email * General Sales Manager * General Sales Manager Email * Program Director * Program Director Email * News Director * News Director Email * Chief Engineer * Chief Engineer Email * Traffic Manager * Traffic Manager Email * PEP Reporting Contact * PEP Reporting Contact Email * Business Manager * Business Manager Email * Human Resources Manager * Human Resources Manager Email * Comments Name of person submitting application * Submit Share this:TwitterFacebookLike this:Like Loading...