M*E*M*O*R*A*N*D*U*M

         ________________
TODAY'S DATE

TO:      THE FEDERAL COMMUNICATIONS COMMISSION

FROM:    _____________________________________
(YOUR NAME HERE)
RE:      INDECENT BROADCAST OF _______________
 (INSERT DATE)

=================================================================


     I was... [ ] horrified  [ ] appalled  [ ] shocked  

[ ] ________________ ...to the point of... [ ] dehydration  

[ ] palpitations  [ ] urination  [ ] ________________ ...by the... 

[ ] disgusting  [ ] salacious  [ ] blasphemous  [ ] ________________ 
 (NAME OF SHOW) 
that aired... ______________  in...  ________________
 (WHEN)                                  (WHERE)  
on...  ___________________.
(CHANNEL OR STATION)


     I... [ ] vomited on my dog  [ ] spilled my whiskey sour  

[ ] set the house on fire  [ ] ________________ ...when I heard 

the word... [ ] uvula  [ ] conundrum  [ ] caca-doody  [ ] 

________________ ...and I'm sure many young children were 

exposed to... [ ] personal body parts  [ ] breast implants  

[ ] penis enlargers  [ ] ________________ ...and their 

heinous functions when they were openly... [ ] discussed
  
[ ] laughed about  [ ] endorsed  [ ] ________________ 

...by a studio audience obviously filled with... [ ] lunatics  

[ ] extroverts  [ ] atheists  [ ] ________________  ...and Dada 

Beatniks.