Greater Ossining TV - Public Service Announcement

Public Service Announcement Request Form

COSTS & FEES WILL BE EXCLUDED FROM ALL MESSAGES.

Please, be sure to include a contact phone number for further information in your message and fill in as much information on this form as possible. GO-TV reserves the right to edit all messages.

I want to submit a PSA Request Form -

Enter Public Service Announcement Here (Maximum 32 characters wide by a maximum 8 lines long.)
Use <Tab> key to go to next line, not <Enter>!

Enter Contact Information Here
Contact Person:
Organization:
Email Address:
Phone: - FAX: (Number format = aaa-eee-nnnn)
This PSA form must be received no later than two weeks prior to it's proposed airing. Today is therefore the earliest this PSA could go to air is
When would you like us to air this message?
Start Date: - End Date: (Date format = mm/dd/yyyy)
PSA's will air a maximum of 30 days. Longer periods require the Station Manager's approval.
PSA's will not be accepted by Phone! Fill out the form completely and either click on the "Submit Form"
button below to sent in your request or, print the form and mail to: GO-TV, P.O. Box 467, Ossining, NY 10562.

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