Get in touch
Please give us some information about yourself and the show you want to start!

Please note: We collect personal information from you, including your name and contact information in order to get in touch about becoming a new Plains FM content creator.

We keep your information safe by storing it securely in a password protected account which only station staff have access to.

You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us at info@plainsfm.org.nz, or 03 365 7997, or 154 Madras Street, Christchurch CBD 8011.

Sign in to Google to save your progress. Learn more
Given Name  *
Family Name *
Cell phone number *
Email address  *
Are you under 25? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Canterbury Communications Trust. Report Abuse
Google Forms