Please submit your PSA request through the form belowOrganization Name *Organization Address (if applicable) Contact Name *Contact Email Contact Phone Number *Mission of Organization (in a few sentences) *Purpose of PSA (i.e. promoting a specific event, etc.) *Deadline for PSA *Choose a Style for your PSA *Text with voiceoverBulletin board (just text on screen)Representative on cameraIf you chose "representative" above, what background would you like for your PSA? Green screen with a Virtual SetBlack CurtainWill you need a teleprompter? *YESNOIf YES above, please paste your text below Please upload your LOGO here You can submit either a .png, .jpeg, or .pdfPlease choose a song Visit http://dewolfemusic.com/ and choose a song you would like to use for your PSA.Do you have a producer agreement on file with LMCTV? *YESNONOT SURERequest a date to record your PSA * VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: