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Spirit FM On The Road Form

Please tell us about your event below. All requests for live broadcast remotes must be received four weeks prior to the event. Please call Brian Sumner at 1-800-774-9798 with any questions or to follow up.

You should use your mouse or TAB key to move from field to field within the form. Some browsers may cause the form to be submitted prematurely if you use the ENTER key.

Name: *
Email: *
Company: *
Street: *
City: *
State/Province: *
Zip/Postal Code: *
Phone Number: *
Fax:
Homepage:

Type of Organization:
    Not-For-Profit
    Commercial
Event Title:
   
Date of Event:
   
Start Time & End Time:
   
Location:
   
If outdoors, do you have an alternate venue in case of bad weather?
   
How many attendees are anticipated?
   
Activities for your event include:
   
Other media involved:
   
What other promotion has been initiated:
   
Is there a promotions budget/allowance? (Read * below)
    Yes
    No
Would you like the Spirit FM remote team to MC your event? (i.e. general announements, thank sponsors, give instructions to attendees)
   

* indicates a required field
Customary Remote Fee: Covers incidental costs, staffing, an twenty on-air promotion announcements: $800

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Spirit FM On The Road Form

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