New Account Registration
Help?
Please complete this form to register for an AudioNET
®
account.
Account Information:
*
Account Name:
An account name is required.
*
Company Name:
A company name is required.
*
ABN / ACN:
Company ABN or ACN number is required.
*
Type of Business:
Please Select...
Production Studio
Radio Station
Advertising Agency
Television Station
Media Agency
Rep Company
Other
Select a business type.
Contact Information:
*
Main Contact Name:
The name of the main contact is required.
*
Main Contact Position:
Please Select...
Production Manager
Traffic Manager
Account Manager
Main Contact
Alternate Contact
After Hours
Other
Select the position of the main contact.
*
Main Contact Email:
An email address for the main contact is required.
A valid email address for the main contact is required.
Main Contact Phone:
Alt Contact Name:
Alt Contact Position:
Please Select...
Production Manager
Traffic Manager
Account Manager
Main Contact
Alternate Contact
After Hours
Other
Alt Contact Email:
Alt Contact Phone:
Billing Information:
*
Billing Contact Name:
The name of the billing contact is required.
*
Billing Contact Position:
Please Select...
Production Manager
Traffic Manager
Account Manager
Main Contact
Alternate Contact
After Hours
Other
Select the position of the billing contact.
*
Billing Contact Email:
An email address for the billing contact is required.
A valid email address for the billing contact is required.
*
Street Address:
A street address is required.
Address Line 2:
*
City:
A city / town name is required.
*
State:
The state / territory is required.
*
Post Code:
The postcode / zipcode is required.
*
Country:
Australia
New Zealand
*
Billing Phone:
A contact number is required.
Alt Billing Phone:
Billing Fax:
Username:
(Suggest a username between 4 and 16 characters.)
*
Preferred Username:
A prefered username is required.
Must be 4 to 16 characters (letters and numbers only).
Before continuing you must agree to our
terms & conditions
:
I have read and agree to the
AudioNET
®
terms & conditions
.
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