If you are interested in being a Promo Team Member for AMPZ Radio, please fill out the form below. We reserve the right to refuse ANY application at our sole discretion.

AMPZ Radio Promo Team Application Form
Your Name *
Your Email Address *
Confirm Email Address *
Subject:	AMPZ Radio Promo Team Application
Age *
Country *
State / Province *
Phone Number (Primary or Cell) *
What type of internet connection do you have?	DSL Cable Broadband Satellite Broadband IDSN Fiber Optic T1/T3 Other
What is your Skype Id? (If you don't currently have a Skype ID, enter "None" and we will help you get one) *
Have you ever used Yahoo Messenger? *	Yes   No
What is your Yahoo Messenger Id?
What other instant messenging programs have you used or still use?	AIM   MSN   Windows Messenger   ICQ   Bebo   Other (Please list below)   None
If you selected "Other" in the previous question, list all instant messenging programs you use not identified in the previous question.
What Social Networking sites are you a member of? *	Facebook   MySpace   Twitter   Google +   Tagged   Linkedin   Other (Please list below)   None
If you selected "Other" in the previous question, list all Social Networking sites not identified in the previous question.
What social gaming sites are you actively involved with? *	PokerStars   Pogo Leagues   Other (Please list below)   None
If you selected "Other" in the previous question, list all Social Gaming sites not identified in the previous question.
In a few sentences or less, please state in your own words what you feel you will be able to contribute to the promo team.
What days and hours are you available to help promo AMPZ Radio? (Please note, we understand this is volunteer work and you may not always have the same time available. We will work with you to ensure your needs are accommodated as well as ensuring we have coverage to promo the stations.)
Any additional comments?
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