Please provide ALL of the following information:

Your Name

Title

Email

Station Info:   Call Sign

Channel/Frequency

Arbitron Market

Market Share

Parent Company (if applicable)

Network Affiliation(s) (if applicable)

Format

Licensed for

Daytime Power

Watts

Office Phone

Ext.

Fax

Web Site

Street Address

City

State

Zip Code

Shipping Address

City

State

Zip Code

I/We agree that the Bumper Music provided to us on the DEMO CD may be used on-air, free of charge, and that

Big City Lights Productions may use our station's information and web site logo on their web site

for promotional purposes.  I further understand that BCL Productions will, in that case, provide a link to

our web site when our logo is used.  BCL Productions may use our station's information for the

purpose of professional reference in exchange for the use of the materials provided on the DEMO CD.

I/We understand that subsequent CD's containing 15 - 20 new Bumpers will be provided on a monthly basis, at a cost

of $19.95 per month for the standard subscription; that Custom or Premium services carry additional costs;

and that free use of the DEMO bumpers is contingent on a valid subscription to the service offered by BCL Productions.

Please check here if you agree with these terms and conditions

Check here if you prefer to download a .ZIP file containing MP3 files of these bumpers. (3.68 Meg).

2004  Big City Lights Productions. All rights reserved.