WILD SIDE RADIO DJ Appliction
WILD SIDE RADIO DJ Application
What is your real name? *
E-mail address? *
Have You Ever Been A DJ Before? *
Yes
No
If Yes To Dj Before, What Was the station?
Are you a current DJ? *
Yes
No
What is your planned DJ Name? *
What time zone are you in? *
EST
PST
CST
Other
If Other, Please Specify
USA State/Country of Residence? *
Skype Messenger Addy (if any):
What type of internet connection do you have? *
Cable
DSL
Dial Up
When Is Your Birthday? (00/00/0000) Format *
Gender: *
Female
Male
Did someone refer you?
Yes
No
If Yes, Who?
Please tell us anything else we need to know, or anything else you want to share :o)