Radio Station or Business Name * Full Name * Mailing Address * City/State/Zip * Primary Phone * Email Address * Special Instructions Ad Copy * Purchase One 30-second commercial - $9.99 Three 30-second commercials - $19.99 One 60-second commercial - $14.99 Three 60-second commercials - $29.99 Ten Liners/Sweepers - $49.99 Security Code *