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Please complete the entire form below to request new service.
Station Call Letters
AM
FM
Attn
Address 1
Address 2
City
State
If international leave blank
Zip
Email
Phone
Fax
Station
Website Address
Internet Station
No
Yes
Internet
Website Address
Liners & Station
ID Copy
General Manager
Program Director
Music Director
Station Ownership
Wattage
(no comma's)
Satellite Programming
Yes
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
hours / day
Satellite Source
Reporting Status
R&R Indicator
Music Row
AAA
Americana
Texas Music Chart
New Music Weekly
Full Time Country Classic
NO
YES
Hours a Day Classic
Does your station have a
gospel show?
Yes
No
Does your station have a
bluegrass show?
Yes
No
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