WRAL-TV On-Air Talent Speaking Request Form

This form must be completed thoroughly and specifically, or we must regretfully decline your request. Our talent is generally booked 8-10 weeks in advance.

Please fill out the form only once. Do not request more than one speaker for your event.

Fields marked with * are required.

*Name of School or Organization:
*Mailing Address:
*City:
*State:
*ZIP Code:
*Location of School or Organization:
*City:
*State:
*ZIP Code:
*Contact Name:
*Contact E-mail Address:
*Contact Day Telephone Number:
*Contact Evening Telephone Number:
*Desired Date/Time:	/ / :
Alternate Date/Time:	/ / :
*Group Size:
*Group Age/Grade:
*Name of anchor or reporter you are requesting:
*Event Description:

	* denotes required field

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