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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(*)
is not a valid e-mail address.

Street Address(*)
Please provide the street address of your organization.

City(*)
Please add a value for city

Zip Code
is not a number.

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(*)
is not a number.

Contact Email Address(*)
is not a valid e-mail address.

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?(*)
Please 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.(*)
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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PSA Submissions

Click Here and Fill Out the Form to Submit a Public Service Announcement

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2300 Portola Drive, Santa Cruz, CA