• Organization Information

• Organization Name*
• Organization Street Address*
• Organization City*
• Organization State

  Alaska

• Organization Zip Code*

• Contact Information

• Contact Name*
• Daytime Phone
• Contact Email Address*
• Website*
• 501(C)(3)*

• Public Service Information

• Please type the public service announcement in the area below. PSAs are limited to 35 words or less and are subject to approval.
• Select PSA Start Date*
• Select PSA End Date *

This PSA Form is for static text Public Service Announcements only. PSA Guidelines and information about video Public Service Announcements can be found Here. Submission of a PSA request does not guarantee that it will be aired.