Red Book . Forms . Underwriting Credit Clearance Form

PBS Red Book: Underwriting Credit Clearance Form

Underwriting Credit Clearance Form

Form must be submitted 10 weeks prior to first day of the month of broadcast. Submit Form to Program Underwriting Policy (PUP) via Email: pup@pbs.org or Fax: 703-837-3300.

Approved by: ______________

Date of Approval: ______________

Program/Series Title:________________________________________________
Episode # and Title:________________________________________________
Delivery Date:________________
Program Length:________________
Air Time:________________
Air Date:________________
Program Contact:________________	Phone: ________________	Fax: ________________	Email: ________________
Production Manager:________________	Phone: ________________	Fax: ________________	Email: ________________
Development Contact:________________	Phone: ________________	Fax: ________________	Email: ________________
PBS Program Management Contact:________________

Please type.

LEGAL NAME OF UNDERWRITER	TIME	VIDEO	AUDIO	AMOUNT $
				SERIES	EPISODE
PREAMBLE (e.g., "This program was made possible by...)


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Total Time:			Total Monetary Amount of Underwriting: