EmailMe Form - WHYR Underwriting Form

Name of person completing form *

First Last

Business/Organization Information

Business/Organization Name *

Contact Name *

First Last

Contact Phone *

### - ### - ####

Contact Email *

Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Website

Business/Organization Logo

Underwriting

Please select which underwriting package you would like to purchase.

General Underwriting

$500 per month - 15 on-air spots per week ($8.33 per spot)

$350 per month - 9 on-air spots per week ($9.72 per spot)

$200 per month - 5 on-air spots per week ($10 per spot)

How would you like to be billed? *

Monthly

Annually (save 10%!)

Duration of your underwriting purchase: *

What would you like to include in your underwriting spot? (Please note that our underwriting must abide by FCC rules, therefore edits may be made by our programming team).

If you have connected with a member of the WHYR team about underwriting, please write their name below.