Custom Promos Form-RL — WNYC SHOW DISTRIBUTION

CUSTOM PROMOS REQUEST

Please submit a different request for each script to be read by a host/reporter. If you have questions, comments or suggestions, please contact Melissa LaCasse at 207.613.9320, or distribution@wnyc.org.

Name

First Name

Last Name

Email Address

Station

City/State

Phone

(###)

###

####

Talent

Length of promo requested

Can Radiolab make modifications to the copy?

Custom Script

Date

Deadline for delivery. (Please allow a minimum of 2 weeks turnaround.)

YYYY

Security Text

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