Method of Payment:
We accept Visa, MasterCard, and American Express. Please let us know if you require a credit card authorization
form.
Clubs & organizations must be sure to specify which account the funds are coming from in order to process payment.
Departments must complete a budget authorization form. The person within the department authorized to manage the
account must sign this form.
Check # ____________ Cash $______________ CC __________________________
Department Account # ___- ___ ___ ___ ___ ___- ___ ___ ___ ___
Special Instructions: ______________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________
RADIOX POLICIES
1. A fee of $25 will be assigned to any person, group, or department who fails to notify Radio X of cancellations 24
hours prior to the event except in cases of extreme weather.
2. Radio X staff is unable to transport or use equipment in weather conditions unsuitable for the safety of equipment
or staff member.
3. Radio X strongly suggests that any burned music be checked with our system prior to the event. Burned CD’s will
not work in all systems at all times.
4. Filling out this form does not guarantee that you will have a DJ.
5. Radio X recommends that all remote request forms be submitted a minimum of 10 days prior to the event.
PLEASE SIGN BELOW STATING YOU HAVE REVIEWED, UNDERSTAND AND AGREE TO THE
CONTENT OF THIS FORM.
X__________________________________________ _______/_______/______
(signature) (date)
OFFICE SECTION
Total Cost:_______________
Confirmation Number: ____________________
Date Paperwork is received: __________________
Person who receives paper: ____________________________________
Date Confirmation is Sent/by whom: ______________________________________________________
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signature
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