Ordering Info

We are pleased to make these PTA PSAs available to you. Please complete this form to place your order.

If you have questions regarding the ordering process, please contact Ken Hempel at ken@tvaccess.com or 1-800-944-9134.

CREDIT CARD ORDERS: This site does not process credit card orders. If you wish to pay by credit card, please print out this form and fax it along with your credit card info to 630-761-2668.

Station Receiving Info

Check here if you would like TV Access to insert your chapter's localization at the end of the PSA ($85 one-time edit charge for TV and a one-time edit charge of $300 for radio).

Please enter the desired local information below.

Phone:

Website:

Chapter:

If you want TV Access to send copies to additional stations not on the receiving list then please enter the additional stations below(list call letters and city) at $30 per TV station and $10 per radio station plus shipping:

Total number of copies to send to stations:

Select additional copies to be sent to you as follows:

Check here if you require extra copies of the PSA for chapter use and/or stations not on the receiving list ($30 per TV & $10 per radio)

Specialty formats need to be quoted individually. Please contact us. (Prices do not include shipping.)

Beta SP: $30 ea.

DVD: $30 ea.

CD: $10 ea.

Total additional discs to send directly to customer:

Delivery Requested By:

Normal delivery time is 10 days.

Month: Day: Year:

Your Billing Information:

Name:

Organization:

Street:

City:

State: Zip:

Phone: - -

Email:

Your Shipping Information (if different form billing):

Name:

Organization:

Street:

City:

State: Zip:

Phone: - -

Email:

Comments:

Please enter any additional comments or requests below.