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Registration Form

1.Full Name(Required.)
2.Radio Station Name(Required.)
3.Your Location(Required.)
4.Which platform(s) does your station broadcast on?(Required.)
5.How often would you like to receieve our show?(Required.)
6.E-Mail Contact(Required.)
7.Do you have a station website?(Required.)
8.Station Website (If answered YES to Q7)
9.Which start date would you like to receive our show?(Required.)
We may need to send you further forms via email but PLEASE NOTE: We will NEVER ask you for any payment details