NEW ACCOUNT REGISTRATION FORM
Type of Account:
Radio Station
Advertising Agency
Production House/Studio
Other
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:*
(
)
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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:
(
)
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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:
Choose State
AK - ALASKA
AL - ALABAMA
AR - ARKANSAS
AZ - ARIZONA
CA - CALIFORNIA
CO - COLORADO
CT - CONNECTICUT
DC - WASHINGTON DC
DE - DELAWARE
FL - FLORIDA
GA - GEORGIA
HI - HAWAII
IA - IOWA
ID - IDAHO
IL - ILLINOIS
IN - INDIANA
KS - KANSAS
KY - KENTUCKY
LA - LOUISIANA
MA - MASSACHUSETTS
MD - MARYLAND
ME - MAINE
MI - MICHIGAN
MN - MINNESOTA
MO - MISSOURI
MS - MISSISSIPPI
MT - MONTANA
NC - NORTH CAROLINA
ND - NORTH DAKOTA
NE - NEBRASKA
NH - NEW HAMPSHIRE
NJ - NEW JERSEY
NM - NEW MEXICO
NV - NEVADA
NY - NEW YORK
OH - OHIO
OK - OKLAHOMA
OR - OREGON
PA - PENNSYLVANIA
RI - RHODE ISLAND
SC - SOUTH CAROLINA
SD - SOUTH DAKOTA
TN - TENNESSEE
TX - TEXAS
UT - UTAH
VA - VIRGINIA
VT - VERMONT
WA - WASHINGTON
WI - WISCONSIN
WV - WEST VIRGINIA
WY - WYOMING
Zip Code:
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