Registration Form

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* 1. Full Name

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* 2. Radio Station Name

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* 3. Your Location

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* 4. Which platform(s) does your station broadcast on?

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* 5. How often would you like to receieve our show?

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* 6. E-Mail Contact

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* 7. Do you have a station website?

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* 8. Station Website (If answered YES to Q7)

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* 9. Which start date would you like to receive our show?

We may need to send you further forms via email but PLEASE NOTE: We will NEVER ask you for any payment details