A&E Networks

Launch Form

Affiliate Launch / Authorization Form

NEW LAUNCH (check nets)

Crime & Investigation Network

Crime & Investigation Network HD

SYSTEM INFORMATION

MSO / System Name *
Other *
Country
Country (other) *
Headend Address *
City *
State *

Zip Code *
Community Served *
DMA *
Other *

CONTACT INFORMATION

Launch Contact *
Phone *
Fax
Email *
Headend Contact *
Phone *
Fax
Email *

AGREEMENT:

(REQUIRED) * By checking this box I agree the information provided is accurate to the best of my knowledge.