Radio Awards Order Form

Address: *

Your Name: *

Country: *

State: *

Name to be inscribed on trophy (Example: John Smith) PLEASE SPELL CAREFULLY: *

Email: *

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Daytime/Cell #: *

To addresses within the U.S.: $55
To addresses in Canada: $75
To all other countries: $90
*Charges above include engraving, standard postage, shipping and handling in U.S. dollars.

**Artists shipping to international destinations outside of the U.S., you may be billed additional customs charges by your local post office.

To order your trophy, please complete the form below:

City: *

2018 Radio Music Awards
Best Country Artist
John Smith
"Title of Song"

2018 Radio Music Awards Order Form

Congratulations on winning during the 2018 Radio Music Awards!

If you are interested in ordering a trophy for your win, please complete the form below.

The trophy is an acrylic trophy that stands upright.

The main trophy inscription will read:

2018 Radio Music Awards

Along with a bronze plate stating the category you won in,

your name and the title of your winning song!

Example:

Song Title: *

Indie Music Channel Page : *

Artist or Band Name: *

What category did you win for: *

Zip: *