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NEW ACCOUNT REGISTRATION FORM

Type of Account:  
 

Station Call Letters / Station Name
Station 1*:   Enter your primary station call letters.
Station 2: Enter additional station call letters.
Station 3: Enter additional station call letters.
Station 4: Enter additional station call letters.
Station 5: Enter additional station call letters.
Station 6: Enter additional station call letters.
Production Contact Information

Production Manager's
 Name:*

  Production contact's name
Production Phone Number:*
()- Ext
Primary Production Phone Number
Spot Email Address:*     Primary email address for the Production Department responsible for spot downloads
Spot Email Address 2:   Additional email to notify regarding spot delivery
Spot Email Address 3:   Additional email to notify regarding spot delivery
Spot Email Address 4:   Additional email to notify regarding spot delivery
TRAFFIC CONTACT INFORMATION
Traffic Manager Name: Traffic contact's full name

Traffic Manager Phone:

()- Ext
Primary Traffic Phone Number
Mailing Address
Mailing Address 1: Station Mailing address primarily used to receive physical CD's, etc.
Mailing Address 2:
Mailing City:
Mailing State:
Zip Code:
-