Radio Presenter Application Form

SIGN UP TODAY!

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BASIC PLAN

£17.50
month

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CLASSIC PLAN

£25.00
month

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PREMIUM PLAN

£35.00
month

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DIRECT DEBIT OR S. ORDER ONLY

Ready to apply? Fill out the form below!

Date Requested

Number of presenters

Applicant 1 Full Name

Applicant 1 DJ/Host Name

Applicant 1 Contact No

Applicant 1 Email Address

Applicant 2 Full Name

Applicant 2 DJ/Host Name

Applicant 2 Contact No

Applicant 2 Email Address

Name of your show

Music Genre

Target Audience

Synopsis/Summary of your show

Previous Experience

Frequency of show

Membership Packages:

Length Of Contract

Membership Plan

Payment options:

Standing order?

(DD Coming Soon – All Payments Due Every 1st Of Every Month Only)

Acc Name: Afro Disiac Live Radio
Acc No: 28412230
Sort Code: 56-00-35
BIC: NWBKGB2L
IBAN: GB81NWBK56003528412230

Have you read, understood and agree to our Terms & Conditions?

Afro*disiac Live Radio

Afro*disiac Live Radio