GCI Public Service Announcement (PSA) Request Form

Please fill out detailed information below.
This form will be submitted electronically to the GCI office(s) you select below Submission of PSAs does not guarantee telecast.

Please Note: Required fields are marked with an asterisk. You should fill in the required fields before submitting this form.

Name of Organization (to be aired on behalf of): *

Address of Organization

Street: *  
City: *  
State:   Alaska
Zip Code: *  

Contact Information

Contact Name: *  
Daytime Phone: *  
E-mail Address:  

PSA Information

Please type in the public service announcement in the area below. Text PSAs are limited to 25 words. (We reserve the right to edit PSAs.)

Do you have any instructions or questions for us about this public service announcement?

Text PSAs need to be submitted at least 14 days prior to event and are subject to approval. 

Requested date to start airing the PSA:

<August 2008>
272829303112
3456789
10111213141516
17181920212223
24252627282930
31123456


Requested date to stop airing the PSA (14-day limit):

<August 2008>
272829303112
3456789
10111213141516
17181920212223
24252627282930
31123456


Please check off the market(s) in which you would like your PSA to air. After your selection(s) have been made click on the submit button below:



This will send your PSA to the location(s) you selected.
Thank you!

If you have any questions, please contact the GCI Public Affairs Department at (907) 868-5553.