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"Sign the Sky" TV Antenna Signing Event

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Payment Options - Visa, MasterCard, Discover, or American Express all accepted




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Participant Information

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Remaining Characters: 120120

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Participant First Name(s)
Participant Last Name
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Address Line 2 (Apt, Floor, Suite, etc.)
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Participant First Name(s)
Participant Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
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Remaining Characters: 120120

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Participant First Name(s)
Participant Last Name
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Address Line 2 (Apt, Floor, Suite, etc.)
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State/Prov
Zip/Postal
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Remaining Characters: 120120

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Participant First Name(s)
Participant Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
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State/Prov
Zip/Postal
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Remaining Characters: 120120

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Participant First Name(s)
Participant Last Name
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Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Participant Telephone
Extension
Participant Email
Message
Remaining Characters: 120120

Participant Information

Participant First Name(s)
Participant Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Participant Telephone
Extension
Participant Email
Message
Remaining Characters: 120120

Participant Information

Participant First Name(s)
Participant Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
 - 
Participant Telephone
Extension
Participant Email
Message
Remaining Characters: 120120

Participant Information

Participant First Name(s)
Participant Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
 - 
Participant Telephone
Extension
Participant Email
Message
Remaining Characters: 120120

Donation Amount

Amount to be paid today:
To sign the antenna, please report to the reception desk at the WQLN studios on

September 18, 19, or 20 between 9am - 4pm.

WQLN is located at 8425 Peach Street, Erie, PA 16509.

If you have questions please contact Shannon at 814-217-6040.
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