Custom Tag/Promo Request

Please fill out the form below with your information and request.

* Indicates a required field.

Station Information

 
* Station Call
Letters:

Example: "WMBI"
* Station Slogan:
Example: "Moody Radio Chicago. Where you turn. For life."
* Frequency:
* Primary Contact Name:
* City:
State:
* Phone:
* E-mail:
* Request Type:             

Custom Tag/Liner Information

Please complete the fields below if you are requesting a custom tag or liner.

Requesting Station-Specific Tags For: (Select at least one) Station Air Time:
Kurt Goff Live
The Land and the Book
Treasured Truth
Exact Script for Tag/Liner:
 
Example: "Heard weekdays at 2 p.m. on 90.1 FM, Moody Radio Chicago. Where you turn. For life."
   

Custom Promo Information

Please complete the fields below if you are requesting a custom promo.

Length:             

Exact Script:
Please paste the exact script to ensure custom promo is accurately reflects your intentions.