Application form license online radio business

Contact)

Company name *

Chamber of Commerce number *

Email address *

Telephone number *

Postal code *

House number * / Suffix

Street name *

Town *

Radio station name *

Link to radio station *

(Stream) provider *

Number of slots *

A copy of the contract with your stream provider, showing the type of your package, must be included as proof.

License start date *

License end date

(only fill in if you know when your radio station will stop)

Payment method *

Monthly (direct debit required)

Quarterly

Annually

(Note: with an annual invoice, you receive a 10% administrative discount on the Sena rate for up to 500 slots)

Direct debit

If you wish to pay by direct debit, you must complete a recurring SEPA authorization. *

Yes

Select a bank for which the digital authorization should be issued. *

Account number (IBAN) *

Account holder's name *

Terms and Conditions *

I agree to the terms and conditions of BumaStemra and Sena .

* = required field

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