Roll One Radio Song Request & Listener Dedication Form 🎶🎙️✨
Request your favorite R&B song, send a dedication, or share a shoutout with Roll One Radio. Song requests are reviewed but not guaranteed to play.
Name
*
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Request Type
*
Please Select
Song Request
Listener Dedication
Birthday Shoutout
Anniversary Shoutout
Business Shoutout
General Shoutout
Other
Artist Name
*
Song Title
*
Dedication or Shoutout Message
Who is this dedication or shoutout for?
City / State
Is this song clean/radio-friendly?
Yes
No
Permission to mention my first name, city, or dedication on air
*
Yes
No
Permission to contact me about this request
*
Yes
No
Would you like to join the Roll One Radio VIP Listener Club for updates, giveaways, sponsor offers, and special announcements?
Yes
No
Song requests, dedications, and shoutouts are reviewed by Roll One Radio. Submission does not guarantee that a song, dedication, or shoutout will be played or announced.
Submit Song Request
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