Fcc Form 327 Application For Cable Television Relay Service Station License Page 3

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FEDERAL COMMUNICATIONS COMMISSION
WASHINGTON, DC 20554
APPLICATION FOR CABLE TELEVISION RELAY SERVICE STATION
LICENSE
FCC Form 327
SCHEDULE A. Type of Application, Applicant Information, Contact Information, and Station Record Information
1. (a) Type of Application: (Check only one box)
(b) Type(s) of Amendment(s) or Modification(s):
(Check the appropriate the box(es)).
New License
Major Amendment of Application
Add Channel(s)
Change Antenna Height
Transfer of Control
Minor Amendment of Application
Change Transmitter
Change Antenna Structure Height
Assignment of License
Modification of License
Change Transmit Site
Change Antenna System
Renewal of License
Increase Operating Power
Add Receive Site(s)
Change Emission Code
Change Receive Site(s)
Minor Modifications
Other (specify in item 8)
(c) If this application modifies an existing station, provide the call sign:
______________________________
If this application amends a pending application, provide the file number:
______________________________
2. (a) Applicant Information
FRN
EIN or SSN
Legal Name
Business Name (if applicable)
Mailing Address
City
State
Zip Code
Telephone
(
)
(b) Contact Information
Contact Name
Business Name
Mailing Address
E-mail Address
City
State
Zip Code
Telephone
(
)
(c) Address where Station’s Records will be Maintained
Address
City
State
Zip Code
Telephone
(
)
FCC 327
Approved by OMB
3060-0055

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