IBS-Backbone Student Radio membership signup page

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:

Phone:

Fax:

Mobile:

* email address:

website:

Station info:

Existing Station
Terrestrial
Internet

Call Letters?:

Faculty Advisor : (If other than contact)

Faculty Advisor phone:

Faculty Advisor email:

IBS Member Since:

Intended Pilot Station format:

Station objectives for pilot project:

Submit form: