Zak-OTFS (orthogonal time frequency space) modulation is a communication framework that parameterizes the wireless channel in the delay-Doppler (DD) domain, where the parameters map directly to physical attributes of the scatterers that comprise the scattering environment. As a consequence, the channel can be efficiently acquired and equalized. The Zak-OTFS carrier is a pulse in the DD domain, and the Zak transform converts it to a pulse train modulated by a tone (pulsone) in the time domain. The pulsone waveform is localized rather than spread, and it suffers from high peak-to-average power ratio (PAPR). We describe how to transform the orthonormal basis of Zak-OTFS pulsones into an orthonormal basis of spread carrier waveforms with low PAPR (only $6.58$ dB) that support communication in the presence of mobility and delay spread. This transformation is realized by a unitary transform based on the discrete affine Fourier transform. Unlike other spread modulations that achieve low PAPR by spreading information across a wider bandwidth (thus reducing the spectral efficiency), the proposed spread carrier-based Zak-OTFS achieves full spectral efficiency like pulsone-based Zak-OTFS, with $5.6$ dB lower PAPR per basis element. We demonstrate uncoded bit error rate (BER) similar to pulsone-based Zak-OTFS, and improved BER performance over competing methods based on OFDM and OTFS in high mobility & delay spread environments.