Cablevision
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Cablevision of:
 
Applicant Name:
 
Date / Time Requested:
 
Producer Name:
 
Director Name:
 
Technical Director Name:
 
Graphics:
 
1st Camera Name:
 
2nd Camera Name:
 
1st Production Assistant Name:
 
2nd Production Assistant Name:
 
Are crew members trained
and qualified Access Users?
Yes   No
I have read the Cablevision Access Rules and understand that this application must be submitted at least fifteen (15) days prior to the requested date of equipment use. I also understand that a completed Access User Application and Access User Contract must be submitted at least fifteen (15) days prior to the desired date and time of the proposed cablecast application. Cablevision will respond to this application in writing within five (5) business days.
Applicant's Signature: ________________________________________

Date: ____________
Cablevision Approval Signature: _______________________________

Date: ____________

Please fill out the above form, then click below to print it. Sign and date the form and mail or fax it to your regional access programming office.