PSA | FAS Radio Network

Name of Organization *

Contact Person *

Email address *

Phone *

Organization Website or Social Media Page

Type of Organization *

Church or Ministry
Nonprofit Organization
School or Educational Program
Community Organization
Government or Public Agency
Health Organization

Title of Event or Announcement *

Church or Ministry Event
Community Program
Health Awareness Campaign
Youth or School Event
Nonprofit Fundraiser
Blood Drive
Community Outreach Initiative
Conference or Seminar
Scholarship Opportunity
Emergency or Public Safety Information

Event Date *

Event Start Time

Event End Time

Event Location *

Street Address *

Public Contact Number or Website *

Provide the exact announcement details *

Requested Air Date *

Would you like FAS Radio Network to write the announcement from the information provided? *

YES
NO

Completed PSA Script

Upload Event Flyer or Supporting Document

Upload Prerecorded PSA Audio

Confirmation and Authorization. Use required checkboxes: *

I certify that the information submitted is accurate and authorized for public distribution.
I understand that submitting this form does not guarantee that the announcement will air.
I authorize FAS Radio Network to edit the announcement for clarity, length, grammar, and broadcast suitability.
I understand that qualified nonprofit and community PSAs may air at no charge, while commercial promotions and guaranteed placement may require a paid advertising agreement.
I understand that FAS Radio Network may decline announcements that conflict with its programming standards, mission, legal obligations, or available airtime.
I authorize FAS Radio Network to edit this announcement for grammar, clarity, length, and broadcast standards.
I understand that FAS Radio Network reserves the right to approve or decline any PSA submission.
☐ I certify that I am authorized to submit this public service announcement on behalf of my organization and that the information provided is accurate. I understand that submission does not guarantee broadcast on FAS Radio Network.

Submitted By *

Title/Position (Pastor, Executive Director, Event Coordinator, etc.) *