City of Georgetown, Texas

PSA Application

*PSA Headline:
*PSA Text Message
(25-40 Words Max):
*Sponsoring organization:
*Organization Phone Number
*Organization Street Address
*Your name:
*Your phone number:
*Your email:

* Indicates a required field
** Street address is required for nonprofit organizations. Do not use a PO Box address.



Administrative fee

$20 per PSA notice for nonprofits in Georgetown City Limits, $30 per PSA notice for nonprofits in Georgetown ETJ. Make checks payable to the "City of Georgetown." Online or credit card payments not currently accepted.

Indicate method of payment for fee:
Mailing check to City of Georgetown Public Information Office - PSA fee, PO Box 409, Georgetown, TX, 78627
Delivering check or cash in-person to City Hall, 113 E. Eighth Street in Georgetown
Fee not required, as per Public Service Announcement policy



CERTIFICATION: In submitting this form, I hereby certify that the PSA message or videotape that I have submitted to the City of Georgetown for broadcast on Cable Channel 10 will: (1) be of acceptable technical quality for broadcast (for videotapes and images); (2) not violate or infringe upon the rights of any kind or nature whatsoever of any person, firm, or corporation; and, (3) not be obscene, indecent, or otherwise unprotected by the Constitution. I further warrant and represent that the PSA message or videotape will comply with applicable federal, state and local laws, rules, and regulations, including decisions and orders of the FCC, and Suddenlink's operating rules governing the operation of leased access channels on the System.

* I have read and understand the PSA policy and certify that this message meets the guidelines.

For more information about PSAs or to submit a videotape from an authorized organization for replay, contact Keith Hutchinson, City of Georgetown Public Information Officer, at (512) 930-3690.

For more information about the local cable system, contact Suddenlink Communications at (512) 930-3085.