Request for Media Sponsorship from CIUT 89.5 FM
Your Name *
Prefix
First *
Last *
Suffix
Organization/Event *
Address
Street Address
Address Line 2
City
State / Province / Region
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Country
Phone Number *

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Alternative Phone Number

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Email *
Date of the event

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Description of Event and/or Organization *
Event/Organization website
What type of Sponsorship are you looking for? (you can choose more than one) *
 Advertisements 
 Live Broadcast 
 On-Air Giveaways 
 Web Promotion 
 Other 
When is the best time to contact you?
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