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Regional Submission Form
Fill out the below form with your station profile. One form per station.
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Survey Period
Start
*
Finish
*
Station Information
Station Name
*
Market
Frequency/s including Translators & Area they service
E.g. Sea FM 101.5 Rockhampton / 95.1 Gladstone
Format
Previous Station Name
If name has changed in the past 2 years.
Website URL
Ownership
General Manager
General Manager's Email
Content Director
Content Director's Email
Positioning Statement/s
Station Personalities | Time Slots
Special Shows or Personalities | Time Slots
General Comments
Fill out your information below.
Name
*
Title
Email
*
Your Phone Number
Station Phone Number
List below the name & email address of those to receive survey results.
Name & Email
Separate each recipient on a new line.