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1. | Legal Name of the Licensee SOUTHERN ADVENTIST UNIVERSITY |
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Mailing Address P.O. BOX 370 |
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City COLLEGEDALE |
State or Country (if foreign address) TN |
ZIP Code 37315 - |
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Telephone Number (include area code) 4232362905 |
E-Mail Address (if available) SCOTTK@SOUTHERN.EDU |
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FCC Registration No 0001773431 |
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If the above fields do not contain the desired values, use the ‘Change Account Address’ button to go to the Account Maintenance screen where you can make changes for this CDBS account. [Change Account Address] |
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2. | Enter the station information for each facility this address change affects.
[Enter Station Information]
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I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
Typed or Printed Name of Person Signing THOMAS L. VERRILL |
Typed or Printed Title of Person Signing SENIOR VICE PRESIDENT |
Signature |
Date 08/05/2010 |
WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).