Public Service Announcement Form

KCMH airs PSAs (Public Service Announcements) for churches and other non-profit organizations - at no charge - for special events and activities (such as programs, seminars, banquets, concerts, revivals, etc.) for which there is no charge. We air these announcements as time, space and manpower permit. PSAs are also included on our website calendar and on our Community Calendar on the Sonbeam Drive Time program (as time and space permits). Information about the activity must reach the KCMH studio/office at least 2 weeks prior to the event.

- Activity to be aired: *
- Date of Activity *
  
  If event is more than one day (i.e. a revival or special program) please include days/times in box with Other Information.
- Time of Activity *
  
  If activity, event, or service has mulitple dates and times, please include all additional days/times information under "Other Information".
- Place where event or activity will take place: *
  
  i.e. name of church, business, building, park, etc.
- Location of Activity * If special directions are needed, please include in box with Other Information.
  
  Street Address
  
  Other Address (optional)
  
  City
  
  State/Province
  
  Zip/Postal Code
  
  Region (optional)
  
  Country
- Phone Number for Information * Phone number that listeners can call if they need more information or directions.
- Name of Organization requesting announcement:
- Other Information (who, what, why, when, where to meet, what to bring, etc). *
  
  Please include all information about your event, activity, or special service (too much information is better than not enough)!
- More Information (if you need more room)
- Name of person submitting PSA *
  
  First
  
  Last
- Email of person submitting PSA *
- Phone Number of person submitting PSA *

Authentication Text*
(Enter the text in the image above into this field.)

NOTE: Do Not Alter These Fields:

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