Step 1 of 4 25% Have you already scheduled a time with FACT TV to do your show?(Required) Yes No If you answered no, please list possible dates and times to film the show. FACT TV is open from 10 am -7 pm, Mon-Fri. FACT TV will contact you within 24 hours during normal business hours by phone or email and let you know if your preferred times and dates are available. Show Name(Required) Episode title(Required) Episode description(Required)If you have an outline of the topics being discussed or guests who will be appearing, enter that here.If you have a guest or guests, please enter their full names, credentials, and contact info that you would like to be included in the titles and credits of the show.Please select which FACT TV online platforms you would like your episode to be distributed on. By selecting an online platform you are giving Fall Area Community TV permission and the right to distribute the submitted episode to the chosen online platform.(Required) FACT TV's Facebook pages FACT TV's Youtube pages FACT TV's website www.fact8.com None of the above, just FACT TV's cable channels Will this episode contain any mature subject matter, obscence or indecent langangue, graphic or excessive violence, nudity, or anything deemed not suitible for children?(Required) Yes No If yes, please describe. This is important because it will help FACT TV decide the appropriate time to air your show, and furthermore, assign the appropriate rating for our TV guide.Would you like a DVD copy of your episode?(Required) Yes No If yes, how many DVD copies would you like? ( FACT TV offers Producers 1 free DVD copy of their episode. Any additional copies will cost $10.00) Would you like a digital copy of the episode sent to you via email? (Video files will be sent in mp4 video format) Yes No Addition content you want included in the broadcast.In this section, please send us links or upload any addition content you want included in the broadcast.Weblinks to video clips, pictures, logos, or websites please enter here. If you have multiple links, please make sure each link is separated.Video clips, pictures, or logos you want to upload. Drop files here or Select files Max. file size: 50 MB. Producer's InformationFull Name or Company Name(Required) If submitting for company or organization, please put your name and title. Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Cablecast and Online Distribution AgreementFalls Area Community TV can cablecast and distribute online the chosen platform by the Applicant of the above video submission when and where time permits for as long as Falls Area Community TV considers the above video submission relevant to its service area. By checking the box below you as the Applicant are agreeing to the following: I am applying my above video submission to FALLS AREA COMMUNITY TELEVISION (FACT) for the use on their (Public, Education and Government) cable TV access channels, and online platforms that I have selected above for the presentation of the above video submission, which is subject to the following terms and conditions: I am aware of and recognize the restrictions imposed on such use by federal and state regulations and Falls Area Community TV's policies and procedures and I agree to abide by them. In particular: A) I will not cablecast any advertising material designed to promote the sale of commercial products or services, including advertising by and on behalf of candidates for public office. B) I will not cablecast material to solicit funds of any nature. C) I will not cablecast a lottery or any advertisement of or for any information concerning a lottery. D) I will not cablecast any obscene or indecent material. I am also stating that I am the owner or authorized agent of the video submission with the authority to give permission to Falls Area Community TV to broadcast and distribute the above video submission. In addition, that I have obtained all clearances, rights, permission for all content in the video including any content from broadcast stations, networks, sponsors, music licensing organizations, performers representatives, and, without limitation to the foregoing, any and all other persons (natural and otherwise) as may be necessary to transmit my video content over Fall Area Community TV's cable access channels and online platforms. In recognition of the fact that Falls Area Community Television has no control over the content of my public access cablecast and online distribution, I also agree to indemnify and hold Falls Area Community Television harmless from any and all liability or other injury (including the reasonable cost of defending claims or litigation) arising from or in connection with claims for failure to comply with any applicable laws, rules, regulations or other requirements of local, state or federal authorities; for claims, libel, slander, invasion of privacy, or the infringement of common law or statutory copyright; for unauthorized use of any trademark, trade name of the service mark; breach of contractual or other obligations owing to third parties and for other injury or damage in law or equity which claims result from my use of Falls Area Community TV's cable access channels or online platforms. I also recognize that Falls Area Community Television will maintain and make available for public inspection a record of all persons applying for use of the cable access channel and online platforms and I agree that this application may be used for such a record. I have also read the Falls Area Community Television cable access policies and procedures (https://www.fact8.com/about-fact-tv/policies-procedures/) and agree to abide by the terms and conditions. I am the Producer/Authorized Agent and I am 18 years of age or I am the parent or legal guarding of the producer and I have read and accept the above agreement.(Required) I have read and accept the agreement.EmailThis field is for validation purposes and should be left unchanged. Δ