98.5 KTIS

Organization Name*

Your Name*

FirstLast

Email

Organization Director

Address*

Street AddressAddress Line 2CityStateZip Code

Organization Phone*

Organization Website

Organization Information

Does your organization fit the criteria below?

Locally Based (may be affiliated with a national organization, but has a strong local presence).
501(c)3 Organization
Adheres to ECFA Guidelines (http://www.ecfa.org)
Volunteer Opportunities Available

How would you categorize the primary activity of your organization?

Example: Mentoring, Food Distribution, Disaster Relief

Has KTIS promoted your organization in the past?

How has KTIS promoted your organization?

Please give a description of your organization and help us know anything else about your organization. Feel free to include testimonials.

What would you like KTIS to help you accomplish should you be selected to be a 98.5 KTIS Difference Maker?



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