Please fill out the form below to request your
favorite film or pop song to air on ASC-TV.

We will make every attempt to fulfill your request.

ONE REQUEST PER PERSON

Name:

Email: 

City:    

State:  

Song
Genre:

Movie Title or Pop Artist:
              

Song Name:
              

Message to broadcast during the song:

Comments about ASC-TV:

Disclaimer: This is a public service. Any submissions missing required information or with false inaccurate information will be immediately deleted. Comments that are defamatory, abusive, obscene, explicit, vulgar or otherwise objectionable will be deleted as well. By submitting this form, you agree to indemnify and hold ASC-TV (Asian Satellite Communication, Inc.) and its affiliates, officers or agents harmless from any claims or liabilities.