NAB For P-18Canadtes AGREEMENT FORM FOR POLITICAL CANDIDATE ADVERTISEMENTS (check appcable box) Q FEDERAL CANDIDATE —O_ STATE/LOCAL CANDIDATE To Avail Themselves Of The Lowest Unit Charge During A Political Window, Federal Candidates Must Sign The Certification On Page 3 ‘Station and Location: Date: Wect Wimmer NC 10-21-16 ; National Media Research, Planning, and Placement beingon behart ot THe Richard Burr Committee a legally qualified candidate of tre US Senate political party forthe office of: Republican inthe North Carolina Primary ‘election to be held on: March 15th, 2016 do hereby request station time as follows: Time of Broadcast | Day, Times per | Number of Length | Rotation or | 8¥S Class Week | Wooks Package [See Schedule [See Schedule [See Schedule [See Schedule |See Schedule | See Schedule| ‘atac proposed achedule wih chargveavatabiy 12, 64D." \3ET eat 20 Nort cn aan yt can od hh ees AB Form PO-18Candtes {rarest tt pant for above cenebed browse a hae been tried ‘The Richard Burr Committee {and you are authorized to announce the time as paid for by such person or ent. | represent that this person or eniy is either a legally qualifed candidate or an ‘authorized committee/organization ofthe legally qualified candidate. ‘The name ofthe treasurer of the candidate's authorized commitee i: Timothy W. Gupton ‘This station has disclosed to me its polical advertising policies, including: applicable ‘lasses and rates; and discount, promotional and other sales practices (not applicable to federal candidates), ‘THIS STATION DOES NOT DISCRIMINATE OR PERMIT DISCRIMINATION ON THE ‘BASIS OF RACE OR ETHNICITY IN THE PLACEMENT OF ADVERTISING. To Be Signed By: oh a ” Date eZ To Be Signed By Station Representative 4 (D Accepted in Part TRejectod Fawn borPins _ NSA oo eit hr nyo yt art Acn Benats Hy pve ee es