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SUBSCRIPTION FORM
For Licensed Radio Stations Only.

For Active Subscribers | For New Subscribers

Please complete this form to place your order.
PRIVACY STATEMENT: Radio Express will never share any data with anyone.

ACTIVE SUBSCRIBERS: Please go here.
New subscribers, please complete and send this form. We will send you an invoice and start your service after initial payment. Call Radio Express at +1-818-295-5800 for assistance; thank you.

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1. Payment Options
Invoice and Payment Frequency
Invoices are payable immediately on receipt. Payment frequency must be the same as invoice frequency. For convenience, monthly prices are calculated at 4.33 weeks per month.
Monthly
Quarterly (13 weeks)
Semi-annual (26 weeks)
Annual (52 weeks)
Payment Method
Radio Express requires signatures for Credit Card Payment Authorizations. You may download one of the Credit Card Payment Authorization forms below, sign it and fax it to us. Or, we will send it to you with your order confirmation.

Authorization Forms:     • EnglishEspañolFrançaisItalianoPortuguês
VISA
MasterCard
American Express
Bank Wire Transfer

We will send you our bank details
with the invoice.

Check in US$ - Send to:

RADIO EXPRESS
1415 W. Magnolia Blvd.
Burbank, California, 91506
USA


2. Delivery Options
Delivery Frequency
CDs sent Weekly + Online Access
CDs sent every 2 Weeks + Online Access
CDs sent every 4 Weeks + Online Access
Online only, no CDs
Delivery Service
Radio Express will choose the lowest priced express courier service available in your area. Not all shipping services are available in all areas. Costs vary depending on your choice of frequency and courier availability. If you have a prefered courier, please click on that button. If you have your own account with a courier and want them to deliver your services, please choose that courier and indicate any information we need, such as Account Number, in the Shipping Notes. In any case Radio Express will confirm your delivery arrangement with you.
RADIO EXPRESS
    will choose the lowest priced available courier to my area.
DHL
FedEx
UPS
US Express Mail
US Airmail
Delivery Notes
If your shipping address is different from your billing address, if you have your own courier account, to specify values on Commercial Invoices, or for any other questions about shipping, please write here:


3. Station Information
My Name:
My Job Title:
Email Address:
Station Website:
Station On-air Name:
Radio Company Name:
Address:
City:
State or Province:
Postal Code:
Country:
Telephone:
Fax:
General Manager:
Program Director:
Music Director:
Production Director:
Sales Director:

4. CONTRACT


5. GENERAL COMMENTS

  
THANK YOU!
You can also print this form and fax it to us at +1-818-295-5801.

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The Africa Chart
Jammin' Africa
World Chart Show with Lara Scott
World Chart Show con Julieta
The Rick Dees Weekly Top 40
World Chart Show with PJ Butta
The Countdown w/ Walt "Baby" Love
Full Throttle Radio
Soul Lounge
Gospel Traxx w/ Walt "Baby" Love
Coke Side of Life Mixshow
Superadio Mix Programming
Dance Gravity
Chill with Mindi Abair
The Dave Koz Radio Show
Swingin' With Sinatra
Elvis Only
American Gold with Dick Bartley
Flashback!
Bob Kingsley's Country Top 40
American Country Countdown w/ Kix Brooks
 

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