Class of 2021 Legendary Station Nomination Form
This station can only be nominated by a member of the Board of Directors, a Lifetime member, an advisory council member or a past Hall of Fame inductee and endorsed by the same. If you have any questions, please email Brian Craig, Historian & Election Committee, at brianleecraig@gmail.com
Radio Station Call Letters
Radio Station Contact Person
*
First Name
Last Name
Address of Radio Station
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Radio Station Contact Person
*
-
Area Code
Phone Number
Email of Radio Station Contact Person
*
example@example.com
Image Uploads
*
Browse Files
Please upload two high resolution images - one portrait and one action. Any video of action less than 1minute can also be uploaded.
Cancel
of
Nominated By
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Endorsed By
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Please Give us a Short Bio of the Radio Station
*
Please Upload a Complete Bio of the Radio Station
Browse Files
If you do not have one at this time, you can email one later to brianleecraig@gmail.com
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of
Submit
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