Please fill out detailed information below. This form will be submitted electronically to the TV Cable office(s) you select below. Submission of PSAs does not guarantee telecast. Please Note: Required fields are identified in red. You should fill in all the required fields before submitting this form.
Name of Organization (to be aired on behalf of):
Address of Organization / Customer
Street :
City :
Zip Code: :
Contact Information:
Name :
DaytimePhone
e-mailAddress:
PSA Information:
Please type in thje public service announcement in the area below. Text PSAs are limited to 175 characters and we reserve the right to edit all PSAs.
You have characters remaining.
Requested date to START airing your PSA.
Attachment:
If you wish to send an attachment, such as a photo for a birthday or anniversary announcement please make sure your photo is scaled for web and click the attachment button below.
All announcements will run 14 days. This announcement will run in Rensselaer & Morroco.
When you have filled in all the above required fields, click submint and call our office at 1-800-621-2344 to confirm placement of this PSA. You may call the same number with any questions you might have as well.
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