Organization Name:

*

Organization Address

Street:

*

City:

*

State:

Alaska

Zip Code:

*

Contact Information

Contact Name:

*

Daytime Phone:

*

Email Address:

Website:

501 (C)(3):

Public Service Announcement Information
Please type the public service announcement in the area below. PSAs are limited to 35 words or less and are subject to approval. words remaining.

PSAs must be submitted at least 7 days prior to the event and PSAs can run a maximum of 14 days. One PSA per organization per 14 day period.

Requested Start Date

Select Date

Requested End Date

Select Date

Select the Cities to run the Announcement in.

	Location	Channel
	Anchorage	1
	Barrow	6
	Bethel	1 / 43
	Cordova	6
	Fairbanks	1
	Homer	6
	Juneau	1
	Kenai	1
	Ketchikan	16 / 17

	Location	Channel
	Kodiak	1
	Kotzebue	6
	Mat-Su	1
	Nome	1
	Petersburg	60
	Seward	1 / 36
	Sitka	1 / 70
	Valdez	6
	Wrangell	60