RTDNA Canada Award Order Form
If you are ordering multiples of the same award you can indicate the quantity at the bottom of this form. For each different award type you will require a new form.

Deadline to order duplicate awards: June 29, 2018

For inquiries please contact info@rtdnacanada.com.

Contact Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone Number
Your answer
Award Details
Awards are $82 (+ tax) per award.

Once you have submitted this form, the RTDNA Canada office will send you an invoice for payment. The order will be placed on receipt of payment.

Awards are ordered in batches once a minimum quantity is reached; there will be a delay between your order date and delivery date. If you require your award by a specific date please email info@rtdnacanada.com for more information. Additional charges may apply.

Award Year *
National, Network, or Regional? *
Media Type *
Market Size *
Award Category *
Station Name (as it will appear on award) *
Your answer
Title (as it will appear on award) *
Your answer
Quantity *
1 - 4 awards: $23 per award (+ tax)
5 awards: $92 (+ tax)
6 or more awards: $115 (+ tax)
Address Line 1 *
Your answer
Address Line 2
Your answer
City *
Your answer
Province *
Postal Code *
Your answer
We accept credit card payments only. A secure online payment link will be provided on your invoice. A 4% processing fee will be applied to all payments.
Comments / Questions
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