Public Service Announcements Form

Public Service Announcement Request Form

Registered non-profit organizations are eligible to run twelve 30-second public service announcements on KSCO at no charge. There are four conditions for this free PSA campaign.

· You must fill out our online PSA request form.
· If your request is approved, you must provide the script, timed to 30 seconds.
· A representative of your organization must voice the PSA, with a personal introduction (e.g. “Hello, I’m Joe Smith for Bart's Bumblebees”).
· You must call our PSA man Sam (831-475-1080) at least five working days before the first air date of your spot to arrange a recording appointment.

IF YOU HAVE A PRE-EXISTING RELATIONSHIP WITH KSCO, PLEASE DO NOT USE THIS FORM. IN THAT CASE, PLEASE CONTACT YOUR SALES REP DIRECTLY.

ORGANIZATION

Name of Organization(*)

Please provide the name of your Organization

Email Address(*)

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Street Address(*)

Please provide the street address of your organization.

City(*)

Please add a value for city

Zip Code

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Primary Purpose of Organization(*)

Please add a value for

How long has this organization been in service?

must contain only 0-9,a-z,A-Z characters

Have You Worked With Someone At KSCO Before?

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CONTACT INFORMATION

Contact Name(*)

Please add a value for .

Contact Phone Number(*)

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Contact Email Address(*)

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EVENT INFORMATION

Event Title(*)

Please add a title

Event Start Date/Time

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Event End Date/Time

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Describe event, including who will benefit, sources of funding, other pertinent details.(*)

Please add a description for the event.

Will you be buying advertising space or time in other media for this event?(*)

yesnoPlease add a value for Will you be buying advertising space or time in other media for this event?.

Please verify you're not a robot by typing in the letters you see here.(*)

RefreshYour entry is incorrect. Refresh if you need to. Yes, it's a pain, but the spammers would do nasty things with this form if we didn't have it.

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KSCO Live Show: 831-479-1080 KSCO Office: 831-475-1080

Important! For Dead Doctors Don't Lie Use: 888-379-2552

Public Service Announcement Request Form

ORGANIZATION

CONTACT INFORMATION

EVENT INFORMATION

PSA Submissions

AM 1080 KSCO -News Talk Radio
2300 Portola Drive, Santa Cruz, CA 95062

KSCO Live Show: 831-479-1080 KSCO Office: 831-475-1080

Important! For Dead Doctors Don't Lie Use: 888-379-2552

Public Service Announcement Request Form

ORGANIZATION

CONTACT INFORMATION

EVENT INFORMATION

PSA Submissions

AM 1080 KSCO -News Talk Radio2300 Portola Drive, Santa Cruz, CA 95062

AM 1080 KSCO -News Talk Radio
2300 Portola Drive, Santa Cruz, CA 95062