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Radio Station Sign Up

Please fill out this form to receive your free subscription to the Common Sense radio program.
 
You will receive a packet in the mail every two weeks containing 10 two-minute radio shows on CD, with scripts. New subscribers will also receive our free gift, a bobblehead of Sam Adams.

Please fill out this form to receive your free subscription to the Common Sense radio program.
 
You will receive a packet in the mail every two weeks containing 10 two-minute radio shows on CD, with scripts. New subscribers will also receive our free gift, a bobblehead of Sam Adams.

1.	Radio station name: *
2.	Your name: *
3.	Phone number: *
4.	E-mail address: *
5.	Street address: *
6.	City: *
7.	State: *
8.	ZIP code: *
	Enter the characters as they appear in the box to the right *
	* Required