1. Name of Suggester (First, middle initial, last)

2. Email Address

3. Position Title

4. Market

5. Department

6. Market Address

7. Market Phone

8. May your name be used during the processing of this suggestion

  Yes  No

9. Title of Suggestion

10. Current Situation (Briefly describe the present practice, condition, etc, which you believe should be changed)

11. Idea for Improvement

(State your idea as clearly as possible. Tell how and where it may be used and what it will accomplish)

12. Savings and/or other benefit to Triad and/or its subsidiary(ies) which will result from your idea

By clicking submit you agree that acceptance of a cash award constitutes an agreement that the use of this suggestion by Triad Broadcasting Company and/or its subsidiaries shall not form the basis of a further claim of any nature by me, my heirs, and assignees.