PSA & COMMUNITY EVENT SUPPORT REQUEST FORM
Is your organization a for-profit or non-profit?
For-Profit (Please do not continue. Please fill out this form instead:
TYPE OF REQUEST:
PUBLIC SERVICE ANNOUNCEMENT (To promote or build brand awareness of a non-profit, governmental agency and/or civic organization or initiative)
COMMUNITY EVENT SUPPORT (To promote or request donations for a specific EVENT or FUNDRAISER)
Contact Full Name:
Contact Phone Number:
How did you hear about Lightning 100?
What Department are You Requesting Support From:
Live On The Green
Which category does your announcement/event fall into?
Domestic / Child Abuse
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