APPLICATION FOR HYPERLINK LISTING 104.9 MHz 3GLR


To: 9FM Online
PO Box 557
Willetton WA 6955
Fax: 08 9310 1117

Re: Hyperlink for Radio Station on 104.9

Dear Sirs,

We can currently see our radio station (ACMA license 1198462) listed on your website at http://9fm.com.au/104.9/ and we hereby apply to have a hyperlink added, so that members of the public can click through to our main website. Details are:

Primary Branding ____________________________ (eg 104.9 MHz 3GLR.)

Main Website to hyperlink to: http://________________________ (eg http://www.greatradio.com)

----- (Details below this line are for internal use only, and not for publishing) ---------

Legal Entity name ___________________________ (eg XYZ Pty Ltd)

ABN _______________________________ (eg 55 008 922 530)

Postal Address
               ________________________
               ________________________
               ________________________

Contact Name ______________________ (eg Jane Citizen)

Contact Title ________________________ (eg Marketing Manager)

Contact Phone: __ _____ _____

Contact Fax: __ ____ ____

Contact email _______@______________

I, the undersigned, hereby state that I am a duly authorized officer of the legal entity indicated above, and assert that I/we have a bona fide claim to having a hyperlink for the above station, to the website indicated. We recognise the right of the operator of 9FM Online to refuse, modify or cancel any hyperlink listing which they deem offending or offensive, at their complete discretion (and issue a pro-rated refund or adjustment). Please add the hyperlink as soon as possible, and issue us with a tax invoice for A$990 (inc GST) for 12 months of hyperlink placement, as per the below standard schedule of rates.

Thank-you

Signed ______________

Printed Name _______________ Date of signing ____________

Standard Schedule of Rates, as at 12th June 2006

Commercial Radio Station : A$900 + GST = A$990 inc GST
Community Radio Station : A$200 + GST = A$220 inc GST
HPON Radio Station : A$450 + GST = A$495 inc GST
Retransmission : A$200 + GST = A$220 inc GST


Commercial-in-Confidence when completed.