Form New Year, New Wins

Name(Required)

First Last

Email(Required)

Business Name(Required)

What is the name of your business?

Contact Person(Required)

Who should we contact regarding this promotion?

Phone Number(Required)

Business Website or Social Media Links

Provide links to your website or social media pages for promotional purposes.

Business Address

Where is your business located? (City, State, ZIP)

What Offer or Prize Will Your Business Provide?(Required)

Describe the offer (e.g., gift card, service voucher, product sample).

Estimated Value of the Offer or Prize(Required)

What is the approximate monetary value of your contribution?

Any Restrictions or Conditions on the Offer?(Required)

Are there specific conditions for redemption? (e.g., valid on weekdays only, first-time customers only, limited to 50 redemptions)

Offer Validity Period(Required)

Start Date, End Date

How Can Listeners Redeem Your Offer?(Required)

Explain the process for redemption (e.g., mention the radio promo, bring a printed voucher, use an online code).

Business Description for On-Air Promotion(Required)

Provide a short description of your business for use in on-air mentions (e.g., "A family-owned restaurant specializing in Pacific Islander cuisine")

Upload Your Logo, Flyer, or Other Promotional Materials

Max. file size: 2 GB.

Please upload any materials we can use to promote your business on social media or on-air.

Do You Agree to Cross-Promote the Campaign on Your Platforms?(Required)

Yes

Do You Consent to PacifikLive Using the Provided Materials for On-Air Mentions, Social Media Posts, and Website Content?(Required)

Yes

Acknowledgment of Eligibility Requirements

I confirm my business is located in the Greater Bay Area and in good legal standing.

I confirm I am providing a non-cash prize or offer as part of this promotion.

By checking boxes below and submitting this form, you confirm that your business meets the eligibility criteria for this promotion.

Anything Else You’d Like to Share?

Let us know if you have any additional questions or information about your participation.