EmailMe Form - KRYKEY - START A RADIO STATION

Please note that payment has been disabled on this form.
You may notify the owner and continue to submit the form.

THIS IS A PAID SUBSCRIPTION SERVICE ONLY
Please note that this service is a monthly subscription service and you will have to pay for this radio service each month - We accept payment by PayPal Only.

Please fill in as much of the form below:
How did you find us: *
please select how you heard about us
please supply the following information of your new premium radio station
Radio Name : *
please type in your new radio station name
Genre: *
select a Genre for your radio station
Call Sign: *
pick a call-sign like WBPC (4 letters only, last one can be a number)
Freq #1: *
1st Choice - pick a frequency like 107.2
Freq #2: *
2nd choice - pick a frequency like 107.2
The following section is for the Premium Radio Station (with web site)
Site Colours: *
Logo or Header 1000x300 :
please upload your logo or header (PNG, JPG)
- 1000x300 pixels
- if no logo, we can create one
Twitter:
RADIO STATION OWNER DETAILS
We need your name, location and email address
Your Name *
First Last
must be your legal name and not an alias or business name
Age:
Gender: *
Country: *
City: *
State/Area/District:
Email *
must be the same as the PayPal account used

Confirm
Previous Stream Rate:
Old Streaming Service:
If Other Above:
If other was selected please type which
THIS IS A PAID SUBSCRIPTION SERVICE ONLY