Local Channel Ad Submission Local Channel Ad Submission Submit Your Advertising Information On Our Easy Form Easily attach photos or fliers directly to this form! You’ll receive an email from us confirming your request. Your Name (required) Your Organization Your Email (required) Phone Number (required) Your Billing Address (required) Your Billing City (required) Your Billing State (required) AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Your Billing Zip Code (required) Date Ad to Begin (required) Date Ad to End (required) Your Ad Details (required) 1500 Upload Photos or Fliers to Submit With Your Ad By checking this box I agree that I am requesting Corn Belt Telephone broadcast the photos and information within this form on their channel Local on 15 for a charge of $5 per 15 second ad per calendar week, and that unless otherwise noted, my ad will run as the standard 15 second ad. I understand that I will be billed for this service. Are you a person?