Graham Brock, Inc.
Broadcast Technical Consultants

www.grahambrock.com

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Use this form for applications in the 2 GHz band and up.  Please enter the information below and then click on "submit".  You will be contacted within two business days to confirm your information.

  • Has frequency coordination been completed? Yes No
  • If so, what is the frequency coordinators name?  

    Phone Number:

  • Call letters of the associated station. 
  • Is this a Modification of an existing license?  Yes No
  • If this is a modification, enter the call sign. 
  • Please provide the following studio information:
    Studio Address
    Address (cont.)
    City
    State/Province
    Zip Code
    Studio Phone
  • Enter the Antenna Structure Registration number or center of operation coordinates: (DDMMSS.S/DDMMSS.S) 
  • Indicate coordinate Datum 
  • Enter the "Area of Operation" radius (miles).
  • What is the transmit antenna setup? 
  • If other, Please describe:
  • Provide TV RPU transmitter information.
    Manufacturer
    Model
    Channel loading
  • Provide TV RPU transmit antenna information.
    Manufacturer
    Model
  • Provide TV RPU transmission line information.
    Manufacturer
    Size
    Length
  • Antenna polarization. 
  • Frequency                   Frequency                  Station Class
  • (Lower or Center)       (Upper)                      (Fixed or Mobile)
  •                                     
  •                                      
  •                                      
  •                                      
  •                                     
  •                                      
  •                                      
  •                                      
  • Primary use.
  • If other, Please describe:
  • Please provide the following licensee contact information:
    Name
    Title
    Company Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Phone
    FAX
    E-mail
  • Please provide the FRN and password of the company name the application is to be filed in.
    FRN
    Password
    Confirm Password
  • Please provide the following contact information for the FCC 159 Remittance Advice:
    Name
    Title
    Company Name
    Phone
    FAX
    E-mail
  • Please enter a confirmation email address:   If you do not receive a return email confirmation from Graham Brock, Inc. within 2 business days please contact our office.
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