2019 KBA Radio Station Membership Join

Basic Contact Information

First
Last
Suffix
Title
Email

General Manager

First
Last
Suffix
Email

Traffic/PEP Contact

First
Last
Suffix
Email

Station Information

City of License
State of License
Call Letters/Station
Format
Dial Position
Website
Phone
Fax

Physical Address

Street Address or PO Box
City
State
Zip

Mailing Address

Street Address or PO Box
City
State
Zip
Please enter the names of the Radio Stations that you wish to join:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Membership Information

Station Dues$50 per Station
Please choose the number of stations you wish to join:
Membership

Membership dues paid to Kentucky Broadcasters Association, Inc. are not tax deductible as a charitable contribution. Unless you opt-out (by checking where indicated below), 100% of your 2019 membership dues will be used for lobbying or political expenditures (contributions to our political action committee, KBART) and are not deductible as a business expense. If you elect to opt-out, your 2019 membership dues may be deductible as a business expense.
I do not want any portion of my 2019 membership dues used for lobbying or other political expenditure.
   - denotes required fields