Advertising Order – Basingstoke Community Radio

Advertising online order form

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Advertiser Name *

Address line 1 *

Address line 2 (Optional)

Town/City *

County *

Postcode *

Contact Name *

Email Address *

Contact telephone number: *

Customer P/O (Optional)

Product Description *

Campaign Start Date (DD/MM/YYYY) *

Campaign End Date (DD/MM/YYYY) *

Total Cost of Campaign in Pounds? *

Script Supplied By Client?

Audio Supplied By Client?

Name of Person Submitting This Form *

Email

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Basingstoke Community Radio
Suite 4, The Clock Tower,
Chineham Shopping Centre,
Chineham,
BASINGSTOKE,
RG24 8BQ
Telephone: 01256 533987
Email: info@basingstokecommunityradio.org.uk
Web: www.basingstokecommunityradio.org.uk
Charity registration number: 1153159

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