Contact – PSA

Your name

Your email

Your Phone:

Name of Activity:

Activity Start Date:
Start Time:

End Date:
End Time:

Activity Location:

Activity Address:

Contact info for more info (will be announced on air) You may include Phone number, email, webpage, etc.:

Is your Organization Non-Profit? NOYesYes 501(c)3
Name of Organization requesting announcement:
Mission of Organization requesting announcement:

Other Information or draft script
Please include all information about your event, activity, or special service—too much information is better than not enough:

If you have a flyer about this event, you may upload it (PDF|TXT|DOC|DOCX|JPG|PNG|BMP):

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