Open a New Ticket

Please fill in the form below to open a new ticket.

Full Name:	getName())) { ?> status *
IRC Name:	getIrcName())) { ?> *
In-Game Name:	getIngame())) { ?> *
DJ Name:	getDJName())) { ?> *
Date Of Birth:	getDob())) { ?> *
Email Address:	getEmail())) { ?> *

Region:	*
Slot:	getSlot())) { ?>
Genre:	getGenre())) { ?>

Department:	*

	Please tell us what previous experience you have if any
Experience
Previously Used DJ Software:	getSoftware())) { ?>
	Do you currently work for/volunteer for any other internet radio stations? If so, please supply details
Other work
	What content would you be providing, ie: role play, contests, talk show
Content
	Please tell us a little bit about yourself
About
	Is there anything else that you would like us to know
Misc
	Please provide your addess for record keeping purposes
Address
	I have read and agree I meet all the minimum conditions as stated on the recruitment page if I am applying to be a dj
Conditions	*
CAPTCHA Text:	Enter the text shown on the image. *