Organization Name

Please enter the name by which you want your MXD Trading Partners to know you.

Group Owner

Please add the name of your group owner here

Address

Please enter the first line of your business mailing address here.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact Name

Please enter your organization's primary contact's name

First Name

Last Name

Please enter your email address here

Business Phone

Please enter your business phone number here

(###)

###

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Identity Confirmation Question

Identity Confirmation Answer

Enter Desired Password

Seller Type

Select the seller type that matches your organization

Call Letters

Please enter your call letters name here.

Media Type

R (radio), TV (Broadcast TV), NC (National Cable), LC (Local Cable), IC (Internet Channel)

Band

Please select the band on which this station broadcasts. FM, AM, TV, X

Broadcast Frequency

For Radio Broadcasters, enter the frequency on which the station broadcasts. For TV Broadcasters, enter the channel #. Leave blank for other media seller types.

Traffic/Billing System

Please select your Traffic/Billing System name or vendor name here. If you don't use a commercially available T&B system, or if you don't know which one you use, enter "don't know".

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