Radio Servicing

E-mail Address: *
Call Letters and Frequency (ex. WJLB 97.9 FM): *
University Name (for college stations only):
Market [name of city/town, state]: *
Program Director Name: *
Music Director Name: *
Wattage/Power (if internet station only, please note): *
Station format: *Hip Hop
Neo-Soul
Spoken Word/Poetry
Rock
Jazz
Number of listeners per week [cume]: *
Radio Show Name (if specialty/weekend show):
Day(s) and time(s) the program airs: *
Is your program available online? : *Yes
No
Contact Name: *
Job Title: *
Tracking Day(s) and Time(s): *
Can you receive downloadable music via email?: *Yes
No
Main Phone: *
Secondary Phone (note if cell): *
Website Address:
Street Address for servicing: *
City: *
State: *
Zip: *
Country (if outside USA):
Other Comments/Info:

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