PSA Order Form

To order a preview tape of "The Party's Over"public service announcement, please complete the order information for the VHS preview tape. If you have previewed the PSA and a television station in your area will accept "The Party's Over" for airplay, please complete the order information for the Beta (broadcast version) tape. The tapes include a version of the PSA suitable for local tagging.

Radio PSAs are also available on CD and include three announcements directed toward adolescents and two toward adults.

Order Information

TV PSA: ___ VHS preview tape; ___ Beta (broadcast quality) tape
Radio PSAs: ___ CD (contains 5 different PSAs)

If you are ordering a Beta tape or CD, please let us know where the PSA
has been accepted for airplay:
___________ City/State of television/radio station that will accept/air the PSA
___________ Call letters of television/radio station that will accept/air the PSA (e.g., QRTV)

Name: ________________________________________________________

Organization: ___________________________________________________

Title: _________________________________________________________

Street Address: _________________________________________________

City, State, Zip: _________________________________________________

Phone: _______________________________________________________

Email: ________________________________________________________

Mail or fax to:

National Institute on Alcohol Abuse and Alcoholism
Publication Distribution Center
P.O. Box 10686
Rockville, Maryland 20849–0686
Fax: 703-312-5230

Please indicate how your organization became aware of these PSAs:
O Received mailing
O Read in magazine/newsletter
O Announcement on Web site
O Other (describe) ___________________________

Please let us know how you will be using these PSAs.

__________________________________________________________________________