Cable Television Response Form
As you may know, due to City of Wausau budget cuts, the future of Wausau area local access cable is uncertain. Our desire is to continue with our weekly broadcasts, but should the station go black, we are looking for other ways we can minister to you. Please fill out this form as completely as possible and in return for you time we will send you a small gift.  Thank you!

(As of March 2010, the Mayor's office is planning that local access cable broadcasting will continue at least through the summer.)


Name: 

Address:

City:            State:           Zip:

Phone Number(s):         

Email: 

How often have you watched this program?  

Do you attend a church?            If so, what is the name?  

Select age group: 

Comments/Suggestions: