KSYM UNDERWRITING AGREEMENT (Please Print) Contributor Name: ________________________________________________ Product or Service: ______________________________________________ Address: _________________________________________________________ _____________________________________ Zip: ___________ Telephone: ___________________________ E-Mail:____________________ Fax: __________________________ Day(s) announcements are to air: _______________________________ Times the announcements are to air: ______________________________ Total number of announcements per week: ______________ Total number of weeks: ______________ Total number of announcements to be aired: ______________ Announcements to begin airing the week of __________________19____ and ending the week of __________________19____ In return, we ask that the contributor provide a monetary donation of $________________. _________________________________ Date:____________ Contributor/Underwriter _________________________________ Date:____________ John Onderdonk, General Manager _________________________________ Program Director, KSYM _________________________________ Underwriting Director _________________________________ ___________________ ___________ Underwriting Representative, KSYM (Print Name) (SSN) Please pay only with a check or money order made out to KSYM Mail or deliver to: General Manager, KSYM 1300 San Pedro Ave. San Antonio, TX, 78212-4201 (210) 733-2787, Fax: (210) 733-2801