NDAA would like to hear your programming ideas for NDAA TV. Please fill out the form below.

IDEA SOURCE - YOUR CONTACT INFORMATION
DATE
NAME
TITLE
JURISDICTION
CITY/STATE
TELEPHONE
EMAIL
PROGRAM DETAILS
SHORT TITLE (3 words)
FULL TITLE
SPEAKER SECTION (Information on speaker to appear in TV guide)
NAME
TITLE
JURISDICTION
MAILING ADDRESS
CITY/STATE
TELEPHONE (Optional)
FAX
EMAIL (Optional)
SYNOPSIS (Not to exceed 100 words)
DURATION MATERIALS DEADLINE (When will you have Outline/PowerPoints to us?)

SPEAKER INFORMED OF
COPYRIGHT ISSUES
 YES, SPEAKER APPROVES YES, SPEAKER HAS ISSUES PLEASE EXPLAIN

SPEAKER INFORMED OF RELEASE

YES, SPEAKER APPROVES YES, SPEAKER HAS ISSUES PLEASE EXPLAIN
CONFIDENTIALITY REQUIREMENTS FOR MATERIALS YES NO IF YES, EXPLAIN BELOW
WHY IS THIS LECTURE IMPORTANT FOR BRAODCAST? (Justification should be no longer than 2-3 sentences)
SPEAKER AVAILABILITY Indicate 2-week period speaker will be available
SHOULD SEGMENT BE BROADCAST DURING A SPECIFIC DATE/MONTH? IF YES, LIST DATE/MONTH