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Captured by Grace

Information Sheet for Radio Station or Programs

Yes, we are interested in broadcasting Dr. David Jeremiah's MOMENTO DECISIVO radio program.

Please fill out this form completely and send via fax, e-mail or mail to:

Momento Decisivo
10007 Riverford Road • Lakeside, CA 92040 • USA
E-mail: yguillen@momentodecisivo.org  • Ph: (619) 596-3413 • Fax: (619) 258-3617

Who do you Represent?
Radio Station
Radio Show or Block
Station:
Call Letters:
 Frequency:
Address:
City:
State/ Province
Postal Code
Country:
Phone:
Fax:
E-Mail
Manager
Show Times
Producer's Information
Name:
Address:
City:
State or Province
Postal
Country:
Phone:
Fax:
E-Mail:
Type of programming
Religious  Commercial Music
100% Religious Teachings Cultural

Audience
Adults Teens Other:

Other Questions
At what time will the program air ?
Can you use MP3 format ?
Si
No
Can you use FTP format ?
Si
No
Name & Position