Poolrequest

DJ'ane? DJ?

Deutsch:

Ihr wollt die neuesten Promos und Muster? Und habt bereits einen Account angelegt?

Dann füllt bitte die Bemusterung aus - nach erfolgreicher Prüfung erhaltet ihr Zugang zur Onlinepromotion und ab der nächsten Promo-Sendung haltet ihr ein Päckchen mit aktuellsten Mustern in den Händen. Wenn ihr auch das Negatief ab sofort beziehen wollt einfach "Ja" anklicken!

Bitte füllt einen der Punkte "DJ" oder "Journalist" aus, Anfragen mit nicht ausgefüllten Bögen werden nicht bearbeitet.

English:

Do you want to get the newsest promotionals and infos? And you have successfull created a account?

Please fill out the form - after we check the application you will be approved to our online promotion.

Please fill in of the forms "DJ" or "Jounalist", applications without complety filled forms we dont handle.

Fullname: *

Please enter your full name

Email: *

Please enter your email-adress

Email: *

Please enter your email-adress again

Adress: *

Please enter your adress like street, floor, room, c/o ...

Country: *

Please choose your country

Zip: *

Please enter your zip

Phone:

Please enter your phone number +xx-(nnn)-nnnnnn

Website:

Please enter your website

Clubname:

Please enter name(s) of club (seperated by comma)

Clubadress:

Please enter the adress(es) of club(s)

Clubwebsite:

Please enter the website of club

Contactperson:

Please enter the name of chief or owner of club

People flow:

How much people visit the club

Interest in booking or concerts:

Yes

Please tell us if you want to book some

Journalist

If you're a journalist please tell us something about your work

Magazine(s) / Radio / TV:

Please tell us about articles or storys from you, which magazines or stations you work for

Websites:

Please fill in websites for companys or projects you work for, one per line

Music style:

What kind of music you like?

Negatief: *

Yes

Do you want the magazine "Negatief" in your club (Germany only)?

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math Question: * 1 + 5 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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