PLEASE PRINT THIS PAGE AND MAIL IT TO US OR EMAIL YOUR
APPLICATION TO WXBH@WXBH.ORG

Anyone in the Louisville community is welcome to submit
a proposal. A station representative will contact you if you
have been selected for content review and schedule a time for
studio access and help you produce a demo if necessary.

Name: _________________________________________________

Telephone number: ____________________________________________

When is the best time to reach you by phone? _________________

Email address: _______________________________________________

Description of your show: ____________________________________

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Length of the show: ____________________________

How often do you hope it will air? ______________________

Do you see yourself having a live or taped show? _____________

What do you think that you can bring to WXBH?
How does your program idea fit in with our mission statement?

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