Behind the Mic Application - My Life FM

First Name*
Last Name
Email Address*
Phone*
I want to...(select an option from the drop-down menu)*
Your question or comment*

1. Your Donation

Donation Type

If you'd like to make a regular (monthly, weekly or fortnightly) donation please call us on 8444 5444, or email us at finance@1079life.com, and we'll set it up for you.
Donation Type*
- Once-Off Gift
- Monthly Gift
Your Gift Amount*
- $30
- $50
- $107.90
- $365 (dollar a day)
- $1079
- Other Amount
Other Amount
2. Credit Card
Card Details*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiry Date Security Code Cardholder Name
3. Your Details
First Name*
Last Name*
Organisation
Email Address*
Address
Street Address Suburb State Post Code Country
Phone*
Comments

1. Membership Fee

Details

Membership is for 12 months and helps fund the day-to-day operations of Life FM. Membership is NOT tax-deductible and costs $10.00 (inclusive of GST).
All members must read the below objects of the association and not to do anything detrimental to the best interests of the organisation.
Consent*
I have read and agree to the below statement.
I agree to uphold the objects of Christian Radio Inc in all my dealings with it. I agree to not act in any way that would be prejudicial to the interests or would impair attainment of the objects of the organisation.
Membership Amount*
- 10.00 (including GST)
2. Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Code Cardholder Name
3. Your Details
First Name*
Last Name*
Email Address*
Phone*
Address*
Street Address Suburb State Post Code Country

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Contact details for a character reference
Name*
Contact number*
Relationship (eg: pastor, friend, colleague)*
Areas of interest for volunteering*
- Select All
- On-air announcing
- Audio production
- General administration
- Events
- Prayer team member
- Appeal support team
Select as many as apply
Why do you want to volunteer with Life FM?*

Title*
Description
Building Name
Address
Start Date
End Date
Start Time

: HH

MM

AM/PM
End Time

: HH

MM

AM/PM
Event Photos
Drop files here or

Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB.

1. Your Donation
Donation Type*
- Monthly Gift
Your Gift Amount*
- $20
- $30
- $50
- $107.9
- Other Amount
Other Amount
2. Credit Card
*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiry Date Code Cardholder Name
3. Your Details
First Name*
Last Name*
Organisation
Email Address*
Address*
Street Address Suburb State Post Code Country
Comments
What has Life FM meant to you?

Behind the Mic Application

"*" indicates required fields

Email*

Name of contact person*

First Last

What is your artist/stage name?

Leave blank if this is the same as your full name. If you feel it is needed, please include the phonetic pronunciation of your name.

Mobile of contact person*

First, we want to hear your music!

Choose one song to upload in WAV or similar high quality format, up to 50mb size.

Upload Your Song File*

Max. file size: 256 MB.

Upload the Lyrics (Word or PDF format)*

Max. file size: 256 MB.

Upload a high quality promotional image of you (JPG or PNG)*

Max. file size: 256 MB.

What is the inspiration or story behind this song?*

Was the use of AI involved in creating this track (songwriting, lyrics, vocals, musical production etc.)?*

Yes

No

Please specify how AI was involved in creating this track.

Now tell us a bit about you in up to 100 words, including band member names and ages, where in Adelaide you are from, any achievements & musical influences - talk yourself up!*

Do you or any band members identify as Aboriginal or Torres Strait Islander?*

Website (skip to next question if none)

Instagram profile

Facebook page

YouTube channel

Do you have any gigs coming up? Give details.*

Almost done! Some final questions - why do you want your music played on Life FM?*

How does your music line up with the values of the station? See www.mylifefm.com/about-us/*

The Takeover is a show for youth and young adults. How does your music appeal to 15 - 25 year olds?*

If you were to be featured on Behind the Mic what social media platforms/networks etc will you promote the segment on?*