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Tycoon Membership Application

Please fill out the following request for membership correctly and honestly. YOU MUST BE A DJ !!
If there are any missing or falsely information, you will be automatically disqualified.

General Information:
Email Address*:
Contact Name*:
Phone Number*:
City*:
Country*:

Questionnaire:
1. Do you have a radio show or work on radio? Yes No
What station(s)?
2. Do you have any
DJ Residencies?
Yes No
What club(s)?

[ please inculde locations and phone numbers ]
   
What is the capacity?
How many nights?

Choose a Password:
Password*:
Confirm Password*:

( fields marked with * are required )