Contact

George Fairfield
The Jersey Access Group
(732) 562-2305
gfairfield@piscatawaynj.org

15th Annual JAG Video Awards Registration

Enter the JAG Video Awards

* Required information

Personal Information

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  • Fee

    Type Fee
    No Charge
    $30.00
    $60.00
    $90.00
    $120.00
    $150.00
    $180.00
    $210.00
    $240.00
    $270.00
    $50.00
    $100.00
    $150.00
    $200.00
    $250.00
    $300.00
    $350.00
    $400.00
    $450.00
    $500.00

Station/Organization Information

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Submissions Part 1

  • Choose program category

  • Choose program category

  • Choose program category

  • Choose program category

  • Choose program category

Requirements of All Submissions

  • All registration forms must be received by 8:00pm EDT on Jan. 31, 2024. All payments or purchases orders must be received by Mar. 1, 2024 or your will be disqualified.

Submissions Part 2

  • Choose program category

  • Choose program category

  • Choose program category

  • Choose program category

  • Choose program category

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Jersey Access Group
    P. O. Box 164
    Metuchen, NJ 08840

Payment Summary


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Register