Name:
*
E-mail
*
Phone Number
-
Area Code
Phone Number
Program Title ( include episode if possible)
*
Name of Producer and/or Host
Date & Time Aired
*
Which Channel did you see the program on?
*
KPAS
Arroyo
KLRN
PCCtv
YouTube
Which mode of delivery were you watching?
*
TV - Charter Spectrum
TV - AT&T U-Verse
OTT - Roku
OTT - Amazon Fire TV
OTT - Apple TV
Internet - PasadenaMedia.org
Internet - CityOfPasadena.net
Internet - VOD (YouTube, Archive.org, etc.)
Description of Issue
*
Submit
Should be Empty: