RadioLoyalty™

Broadcaster Signup

Please fill out the form to create a RadioLoyaltyTM Broadcaster account.

* Required Fields

Account Information
Broadcaster Name/Company: *
Title / Position:
First Name: *
Last Name: *
Address:
City:
Country:
State:
Province:
Postal Code:
Office Phone:
Contact Phone: *
E-mail Address: *
Password: *
Confirm Password: *

I agree that I or the Company will not click on the ads served through RadioLoyalty™

I certify I have read the RadioLoyalty™ Terms of Use

I do not already have an approved RadioLoyalty™ Account

By submitting this form you are accepting and agreeing to the Privacy Policy and Terms Of Use of the Broadcaster Program.

Website Information
Please provide website information for more accurate records.

Company Website:
Website Language:
Site Focus:
How many unique users visit your site daily?
How many unique users visit your site monthly?
How many page views a month is your site currently generating?
How many ad impressions per month do you plan on making available?
How did you find out about RadioLoyalty™?
Message

By submitting this form you are accepting and agreeing to the Privacy Policy and Terms Of Use of the Broadcaster Program.

Bank Information

Note: You have the option of providing this information only when you are ready to be paid. We pay accumulative balances over $25 by 45 days after the close of a reporting month. W-9 and verified ACH details are required for payment. Please download and send the W-9 document, along with a cancelled check to verify your ACH details. Please fax to 805-456-0405 or e-mail to broadcastersupport@radioloyalty.com.

Download form W-9 or visit www.irs.gov

Banking Information:

US International

Bank Name:
Beneficiary Account Name:
ABA Routing Number:
Account Number:

Beneficiary Account Name:
Company Address:
Bank Name:
Bank Address :
Bank City and Country:
SWIFT BIC ID:
Account Number:

By submitting this form you are accepting and agreeing to the Privacy Policy and Terms Of Use of the Broadcaster Program.

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BROADCASTER LOGIN

Broadcaster Signup