Equipment and Services Application Form

Please fill in this form if you would like any more information or would like to buy any of our radio equipment or installation or radio training services. Once we receive your form we will get back to you shortly with a quote and / or the information you have requested. Contact Details Full Name * Email Address * Address: Telephone: Organisation Details Organisation Name: What kind of work does your organisation do? (please give details) When was your organisation formed? If you have a website, what is the address? Proposed Radio Station Details What will you use your radio station for? Where would you like to build your radio station? Do you have a studio building? YesNo Is your studio ready? Please Select..Clean and ReadyNeeds Some RefurbishmentStill a lot of work to doStudio not built yet How stable is the electricity at the studio location? Please Select..Completely stable. No electricity problems. Occasional drop-outs. Not a major concern.Regular surges and drop-outs.Not connected to the electrical grid. Will you need a back-up power system? YesNot SureNo Are you interested in solar power? YesNot SureNo If so, how many hours a day do you intend to broadcast? 123456789101112131415161718192021222324 Antenna Location Details What is the terrain like in your area? Please Select..Flat Mostly flat with a few small hillsFairly hillyHills obstruct the areas we want to transmit toMountainous Is there an existing antenna tower, tall building or hill you can you use for the antenna? Please Select..Existing Antenna TowerTall BuildingHillOne of these might be availableWe will need to build a new tower If you do have a tower, tall building or hill, how far is it from the studio (in metres) How far in kilometres would you like to reach with your station? * RadioActive Services Which package are you interested in? Please Select..Basic Complete Station PackageMid-Range Complete Station PackageDeluxe Complete Station PackageBasic Transmission Only PackageMid-Range Transmission Only PackageDeluxe Transmission Only PackageOther - Please specify in the next box These packages are adjustable to suit your needs. Please give details of any items you would like to add or remove from the package you have chosen. We offer technical advice, feasibility studies, installation and training services. Are you interested in any of these services as well? EquipmentTechnical AdviceFeasibility StudyInstallationTraining Logistics What stage are you at in the licensing process? Please Select..We have a community broadcast licenseWe have applied and are awaiting our licenseWe are preparing to apply for our licenseWe are not planning to apply for a license How will you fund this project? When do you expect to be ready to install your radio station? Volunteers We are sometimes able to offer volunteers with radio experience to come and give training at your station. If so, you will be required to provide them with food and accommodation. Is that something you would be interested in? Yes - Tell me moreNo Thanks If you have any other questions or information you would like to add, please do so here. How did you find us? * Please type the black letters in the box on the right.

 

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