Community Event Submission

Organization Name *

Non-profit 501(c)(3) Organization? *

Yes

No

Please provide 2-3 sentences explaining your mission: *

Name of your event *

Brief description of event (50 words or less) *

Event or Organization Website *

Event Date *

Month

Day

Year

Event Start Time *

Hour

:

Minute

am

pm

Event End Time *

Hour

:

Minute

am

pm

Event Location Street Address *

Event Location City, State, Zip *

Are you looking for on-air promotion to help recruit for your event? *

Yes

No

Does your event require that people sign up ahead of time? *

If yes, what is the deadline for signing up for the event? *

Month

Day

Year

Are you looking for an On-Air Personality to participate? *

Yes

No

yes|Yes no|No

If yes, please enter a first or second choice: *

If you would like an on-air personality but do not need a specific talent, please type "ANY" above. Requests for a specific On-Air talent will limit our ability to support your event.

Additional notes or comments *

Your Name *

Your Position *

Your E-mail *

Your Phone Number *

Best time to reach you *

Would you like your event posted on our community events webpage? *

Yes

No

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