IAOVC Activist Media Action Form

Name of Program:

Name of Network & Channel Number:

Date of Program:

Type of Program:
If other, specify:

List Sponsor's Name and Contact Information:

Were Italian Americans portrayed in a Negative manner? If yes, please be specific:

Did any segment of this program portray Italian Americans positively? If yes, please specific:

Other specifics:

Comments:

Activist Information

Name:

Address:

City:

State:

Zip Code:

E-mail Address:

Are you a member of the IAOVC?