KUVO Public Service Announcement Submission Form

Your Organization

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Your Name

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Organization Street Address

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City, State, Zip Code

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Your E-Mail

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Your Phone

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Event Name

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Event Location

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Event Date(s)

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Event Times

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Promo Start Date

Promo End Date

On-going PSA?

Yes
No

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Event address

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Event Phone

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Event Websire

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Event E-Mail

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PSA Information (no more than 100 words)

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Additional Information and Price (if applicable)

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