Application Form
Please note: this is not an electronic form. You will need print this form and return it to the CBAA.

CRN
c/o CBAA
PO BOX 564
Alexandria
NSW
1435

You may also fax completed forms to: (02) 9319 4545

Alternatively copy the text into an email, and send to office@cbaa.org.au

You will receive notification confirming your start up date once your equipment is connected, and you have returned this form. If you have any queries please do not hesitate to contact the CRN on 02 9310 2999. For equipment and technical advice please contact our Technical Consultant David Sice on 03 6334 9876.

The Community Radio Network requires you to nominate a CRN Officer, who is in charge of liaising with the CRN. The CRN Officer is responsible for filling out CRN Program Uptake Surveys each month, through the DDN, and is the person to whom information about new programs is sent. This must be updated whenever you change your CRN Officer. CRN uses email extensively to keep you updated on new programs and program changes. So try to get an email address or you will miss out. Our Satellite Operations Coordinator will be your CRN point of contact and will regularly email your CRN Officer.

To request a program repeat contact Ben Feggans on (02) 9310 2999 or bfeggans@cbaa.org.au.

Station (Incorporated) Name:
Station Call Sign (as given by ACMA):
Actual on air name you want used:
Station Postal Address:
CRN Officer's Name:
CRN Officer's Ph:
CRN Officer's Fax:
CRN Officer's Email:

Licence Status (please tick)
Part Time TCBL � Full Time TCBL � Full Licence �
Other � (please specify licence type) .............................
Smart Card No: (if you do not have this please call the CBAA).

I ................(please print) as .................. (Position held)
request on behalf of community radio station.................that our station be connected to the Community Radio Network as from (date) ...................

I understand that the station will be required to subscribe to the service, with CBAA member stations paying a quarterly fee at a rate of 0.5% of gross income (Minimum $150/ qtr plus GST, to a maximum $475/ qtr plus GST) and non-member stations paying a rate of $800/ qtr plus GST. I also understand that the station must supply the CBAA with up to date audited accounts, or the station will be charged at the maximum rate and that the station must complete the Online Ordering System Database each month or the station will be charged an additional 20% in CRN fees.


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