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Brookdale Public Radio Request Form
Name
*
First Name
*
Last Name
*
Email
*
Which air shift(s) do you normally listen to?
*
Mornings 6a-10a
Mid-days 10a-3p
Afternoons 3p-7p
Evenings 7p-12a
Overnights 12a-6a
Weekend Mornings 5a-11a
Weekend Mid-days 11a-3p
Weekend Afternoons 3p-7p
Weekend Nights 7P-12a
Weekend Overnights 12a-5a
What would you like to request?
*
Artist - Title
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