Community Underwriting Intake Form

CONTACT INFORMATION FOR INTERNAL USE: Business/Organization Name *

Did you mean @?

Name of business or organization

Name *

Did you mean @?

Name of authorized representative

Title *

Did you mean @?

Title of authorized representative

Address line 1 *

Did you mean @?

Address line 1

Address line 2

Did you mean @?

Address line 2

City / Town *

Did you mean @?

City

Postal Code *

Did you mean @?

Zipcode

Email Address *

Did you mean @?

Contact Email for authorized representative

Phone number *

Did you mean @?

Telephone contact information for authorized representative

website URL *

Did you mean @?

on-line contact point

Products and/or services offered *

Did you mean @?

Products and/or services offered

OPTIONAL INFORMATION: Location or area served

Did you mean @?

Location or service area

Other social media accounts

contact points on FB, IG, X, LinkedIn, TikTok, Discord, etc.

Year founded

Did you mean @?

Year founded or duration in business

Hi-res logo

Please wait...

Today's Date (mm/dd/yyyy) *

This can be left alone:

KPFK is a progressive media outlet challenging corporate media perspectives and providing a voice to voiceless communities. Help keep KPFK a strong and independent source of music, arts, news and information.

Schedule

Global Village Fridays w Sergio Mielniczenko
11:00am - 1:00pm

Featuring music from around the world with an emphasis on interviews and live performances.
The Visionary Activist Show
1:00pm - 2:00pm

Dedicated to “anything we need to know to have a democracy”: Democratic Animism, Pragmatic Mysticism, Applied Divination, Renaissance of Reverent Ingenuity. Hosted by Caroline Casey. Her guests are allies contributing to a culture of reverent ingenuity. Critique and Solution.
Arts in Review
2:00pm - 2:30pm

with Julio Martinez
Pacifica Performance Showcase
2:30pm - 3:00pm

Arts & culture to enlighten, enliven and educate