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At what price per gallon of gas would you make the bus your primary form of transportation?

Southeast Wisconsin Transit Systems Television Commercial Participant Application

Applicants must live in Southeastern Wisconsin, be 18 years of age or older, be willing to be videotaped for television commercials and sign release forms.

Applications are due no later than Thursday, April 3, 2008. Potential candidates will be notified by Monday, April 7, 2008. Interviews will take place April 9 – April 11, 2008. Final production will take place the week of April 14, 2008. Dates subject to change.

Fields marked with an asterisk (*) are required.

Home contact information
 
Name*:  
Gender*:
Date of birth*:   /   /   mm / dd / yyyy      
Home address*:  
City*:  
Zip code*:  
Home phone*: (   )   -  
Home e-mail*:    
Work contact information
 
Office address:
City:
Zip code:
Office phone: ( ) -
Office email:
How do you ride?
 
How do you currently travel?*





 
How often do you ride the bus*



 
For what purpose do you ride the bus?*



 
Is there any reason you can not be shown on TV?*


If yes why:
 
Do you have any physical limitations that need to be taken into consideration if you participate?*


If yes why:
 
Would you be willing and available to participate in an interview and an all-day video shoot at a future date?*

What would be the best time to contact you?*



 
In 50 - 200 words, tell us how you do your part to help the environment and why you feel your experience with the bus would make an interesting commercial? Please cite specific examples of how in addition to riding the bus you are environmentally conscious.*
 
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John - Ozaukee County Express
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