WCYJ-FM Remote Event Form

WCYJ-FM is willing to supply music at your event. Please complete the form below at least one week prior to the event date. Upon receipt you will be contacted as to whether or not WCYJ-FM can fulfill your request.

Name of person making this request Name of person making this request First Last
Phone number of person making this request Phone number of person making this request - ### - ### ####
Email address of person making this request
Today's Date Today's Date / MM / DD YYYY
Name of Department/Club or Organization requesting services
Name of event requesting service for
Date of the event Date of the event / MM / DD YYYY
Event start time Event start time : HH MM AM/PM
Event end time Event end time : HH MM AM/PM
Location of event, be advised location must have a power source
Select the music genre(s)

Select the music genre(s) Top 40 Christian Dance Country Live Performer Other
If you chose other, please explain
Any additional information you would like us to know
Any specific song requests, please provide song title and artist