On-line request form

By requesting the program, I certify that I intend to broadcast and/or stream it, will not  duplicate or distribute the program with or without charge, and that my organization  maintains agreements with all music licensing entities to permit the broadcast and/or streaming of music contained in the program.
Please check one box.
	Download it in mp3 format from an ftp site (we will provide instructions),
	Receive it by media mail in CD format ($5 duplication and shipping charge must be paid in advance by mail or to this email address BanksoftheOhio@aol.com at https://www.paypal.com)

Name:
Company:
Address:
City:
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Country:
Email: