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campus events » non-profit events » psa form

KSJS PUBLIC SERVICE ANNOUNCEMENT (PSA) FORM

Organization Information

Name of Your Organization:
Your Name:
Contact Name (if different):
Today's Date:
Your Phone:
Your Cell/Pager/VM:
Your email address:
Contact Phone (if different):
Contact Cell/Pager/VM (if different):
Contact email address (if different):


Event Information

Name of event:
Event start date:
Event end date:


PSA Information

NOTICE:
Your PSA MUST be submitted at least 2 weeks prior to the desired PSA start date to allow time for production. This applies to both recorded and live PSAs.
Desired PSA start date:
Desired PSA kill date:
Type of PSA desired: Recorded
Live
Desired length: 30 Seconds
60 Seconds
   
Event Information or Desired Text for PSA  
NOTES:

1. Your PSA Content may be edited to conform to style and time constraints.
2. Submission of a PSA does not guarantee that it will be aired.
   

 
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