ACMA Radio Data Form

Radio Station Data Form:

In order to effectively promote radio stations who support Independent Country and Red Dirt Music and Artists, it's vital that we maintain a current database so we can keep up with your events and activities, as well as to send you updates, press releases and make occasional advertising buys. Please complete the form below in it's entirety to provide us with this information, which is only for American Country Music Association purposes and not sold to third parties.
Submitted By (Name):*

First NameLast Name
Title:*
E-mail:*
Station Call Letters, Dial # and Slogan*
Music Format/Genre(s)*
What genre(s) of music does your station play?
What Percentage of Independent Music Does Your Station Play? (Please estimate the combined percentage of Texas Country, Red Dirt, Americana or other "Country" related formats you play.)*

0-10%11-20%25-35%36-40%41-60%61-80%81-100%
Year Established:
Station Type (Select All That Apply):*

AMFMInternet
Coverage Area:*
Cities/Counties Coverage Area if Terrestrial, World if Internet
Watt (If Terrestrial):
Audience Reach
Please enter your audience reach.
Online Stream URL:
Please enter your online stream url here.
General Manager:*
General Manager Email Address:*
Program Director:*
Program Director Email Address:*
Station Owner (Company or Individuals):*
Station Owner Emai:
example@example.com
Website URL:*
Advertising Rates URL:
Please enter the link to your advertising rates.
Facebook Link
i.e. http://www.facebook.com/xxxxxx
Twitter Link
i.e. http://www.twitter.com/xxxxxx
Instagram Link
i.e. http://www.xxxxxxxx.com/xxxxxxx
Other Social Media Link
i.e. http://www.xxxxxxxx.com/xxxxxxx
Physical Office Address:*
City:*
State:*
Zip code:*
Business Phone:*
Include Area Code
Other Phone:
Alternate or Mobile
Request Line:
IF ANY
Station Logo

Browse Files
Upload your station's logo here. Cancelof
Do You Need Additional Information?*

Yes, contact me.No, not at this time
Check All Items You Would Like to Be Included In:

Press Releases From ACMA On Events and PromotionsNew Single Releases By ACMA ArtistsRadio Tours With ACMA ArtistsCross PromotionInterested In Panel Participation on American Country Music Chart (No Fee or Reporting Required)
Is Your Station a Member of the American Country Music Association?*

YesNoNot Yet - Please send information
If you are not yet a member of the American Country Music Association, please visit www.americancma.com and consider joining. It takes Members, Sponsors and Donors to be able to accomplish ACMA's goals and implenet programs and projects to benefit everyone who is involved in the independent country music industry.
Please give any additional information you would like to share with us to help promote your station.
Additional Information or Comments:
Enter any additional information or comments here.
Should be Empty:

Radio Station Data Form: