Backroad FM™ Sponsorship Intake — Virality Music
Submit your paid programming and sponsorship request details, including goals, timing, budget range, deliverables, and rights/authorization confirmation.
Organization & Primary Contact
Organization / Brand
*
Primary Contact Name
*
First Name
Middle Name
Last Name
Title / Role
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Website
Social Links
Project Overview & Opportunity Type
Project / Campaign Name
*
What are you looking for?
*
Sponsored Premiere $500+
Artist Interview
Recording Booth B Session
Curated Set
DJ/Host Pilot
Show/DJ Pilot $1,250+
Signal Sponsorship $1,500+
Branded Segment
Show Sponsorship
Station/Listening-Room Inventory
Special Series
Programmed-Series Package $15,000+
Event Tie-In
AdLuxe Campaign
World Takeover $15,000+
Melanated TV Premiere $25,000+
Melanated TV Visual Relay
Other
Target Audience
*
Campaign Objective
*
Desired Backroad FM Frequencies / Rooms
Geography
*
Timing / Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Timing / End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Budget, Assets & Production Needs
Budget Range
*
Please Select
Under $5,000
$5,000-$10,000
$10,001-$25,000
$25,001-$50,000
$50,000+
Other
Creative Assets Available
Logo
Brand Guidelines
Product Photos
Lifestyle Images
Video Clips
Audio Clips
Testimonials
Event Photos
Press Kit
Other
Upload Creative Assets
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Fallback Asset / Download Link
Use this if you need to share a download link instead of uploading files.
Primary Payment Method
*
Stripe Card
Crown Credits
Payment Commitment
*
Pay in Full
50% Non-Refundable Deposit
Crown Credits account email or member/account identifier
*
Authorization acknowledgment
*
I authorize CrownThrive to verify the available Crown Credits balance and debit only the amount currently due for this submission.
CrownThrive Drive Custody Consent
*
Integrity Fingerprinting Consent
*
PentaFlow Orchestration Consent
*
CHLOM Rights Check Acknowledgment
DAIL Evidence Acknowledgment
*
Collab Portal Project Creation Consent
*
Payment Status
Payment Reference
Deposit Status
Deposit Reference
Crown Credits Reference
Drive Custody Reference
Content Fingerprint
CHLOM Rights Reference
Collab Portal Project Reference
PentaFlow Run Reference
DAIL Claim Reference
Verification Status
Audio/Video Deliverables Needed
Host/Talent Needs
Measurement/KPI Priorities
Brand Safety Requirements
CTA Destination
Offer / Promotion Details
Rights, Authorization & Service Interests
Are rights and clearances for supplied materials already secured?
*
Yes
No
If no, please describe the materials needing clearance and any known rights issues.
Confirm rights and brand authorization for all submitted materials.
*
I confirm that I have the necessary rights and brand authorization to submit and use these materials.
Acknowledge payment and fulfillment terms.
*
I understand that payment is required before fulfillment and that provider failure is not billable.
Would you like to start with a smaller-scoped consultation first?
*
Yes
No
Paid CrownThrive add-ons / PentaMarketer recommendations — extra charge
Go Flipbooks — packages $100 / $200 / $300 / $500
Virality Licensing Discovery — $350; final licenses quoted separately
Custom music — starting $12,500+
Melanated TV premiere — $25,000+
AdLuxe — quoted separately
Backroad FM Jukebox Fan Rotation — $100 one-time per eligible track
Other
Payment Section
Select Paid Route(s)
Sponsored Premiere $500+
Show/DJ Pilot $1,250+
Signal Sponsorship $1,500+
World Takeover $15,000+
Programmed-Series Package $15,000+
Melanated TV Premiere $25,000+
Payment Option
Pay in Full
Pay 50% Non-Refundable Deposit
Amount Due Now
Stripe Payment Status
Stripe Payment Reference
Selected Paid Route(s)
Amount Paid
Payment Mode
Payment Timestamp
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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