Please submit this form within 3 days from the time your show aired.
Please include ALL songs, artists, and CDs that were played during the show.
Please follow all instructions as closely as possible.
with any questions.
Date and Time of Show
) (24 hour time)
Name of DJ
Name of Show
If you are using Flex Time, please simply state "Flex Time" in this box.
Public Service Announcements Played
CD and Track Title or Track #, 1 per hour
Track, Artist/Group, CD Name
Include these three pieces of information seperated by a "--" for every track with each entry on a new line.
I, the undersigned, certify that all information on this document is correct to the best of my knowledge. I also certify that I have read the Legal ID at the top of each hour of my show.
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