Making A Difference in the MOV

WTAP-TV is looking for businesses, organizations and people who are going out of their way to help those hit hardest by the recession.

If you know of a business, organization or person that we can possibly highlight, please let us know by filling out the form below!

1.Contact Information

First Name*		M.I.		Last Name*

Email Address*		Daytime Phone*		Evening Phone

2.Address

Street Line 1*

Street Line 2

City*

State*

Zip Code*

3.Making A Difference Idea*

4.Please enter your date of birth.

Month*		Day*		Year*


	5.Terms and Conditions

	YES, I have read, understand, and agree to the Web site usage agreement and privacy policy.


	* represents required fields Children under the age of 13 may not submit this form.

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