Host Application

Host's Legal Name*
First
Last
Host's Professional Name*
Show Name*
Host's Email*
PayPal Billing Email*
Host's Address*
Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country
Host/Show Web Site
Facebook Page
Host's Biography/Show Description*
Upload Photo (First Choice)
Upload Photo (Second Choice)
Show Start Date*
Show Day*
Weekly Show Start Time *
Show Length Each Week*
13 minutes (1 call per show) = $139/mo. US
28 minutes (2 calls per show) = $229/mo. US
Add Commercials on A1R?*
No Commercials
3 Per Day - $70/mo. US
4 Per Day - $90/mo. US
5 Per Day - $110/mo. US
Total Monthly Production Fees (US Dollars):
By submitting this application, you agree to our terms. Read agreement carefully by clicking here.
Word Verification
Signature (Type Legal Name Here)*