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IBS Backbone Student Radio Membership Signup form
Fill in the following information to sign up for the IBS Backbone Student Radio internet radio membership
The IBS/Backbone student radio network will respond to your application with 72 hours.
* - required
School:
*
Contact Name
*
Contact Title:
*
Address:
City:
*
State or Province:
*
Postal Code:
Country:
*
Email (we will keep it completely private)
*
Phone:
*
Fax:
Mobile:
website:
*
Station info:
Existing Station
Terrestrial
Internet
Call Letters?:
Station Manager: (If other than contact)
Station Manager phone:
Station Manager email:
IBS Member Since:
Intended Pilot Station format:
Station objectives for pilot project:
Referred by (name and school):
