Your name
Your email
Your Phone:
Name of Activity:
Activity Start Date: Start Time:
End Date: End Time:
Activity Location:
Activity Address:
Contact info for more info (will be announced on air) You may include Phone number, email, webpage, etc.:
Is your Organization Non-Profit? NOYesYes 501(c)3 Name of Organization requesting announcement: Mission of Organization requesting announcement:
Other Information or draft script Please include all information about your event, activity, or special service—too much information is better than not enough:
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