***PLEASE NOTE:***MOXIE respects your inbox. We only use emails to keep you apprised of artist happenings &/or for feedback. SCHOOL Address City, State, Zip Closest City Type of organization: Newspaper Radio Station TV Station Name of your student organization (call letters, name of paper, etc) Faculty Advisor is Faculty Advisor email; include more than one if applicable: Would you like to continue receiving music or videos from MOXIE? If yes, you are set for the school year; if no we will remove you from our list. Yes No Student if any, we should be in contact with regarding music: Student email: Is your paper online?** Yes No If yes, paper URL/web address: **If you would like to get your paper online, the American Society of Newspaper Editors has a free webhosting/software site for this at www.myhighschooljournalism.com. We would like to extend our record service to other student organizations in your school if you think they would welcome it and/or could make use of it for their media & activities programs. To that end, please give us the relevant info under OTHER SCHOOL INFO below if you think they would also like to receive music, and we'll put them on our list. There is no need to fill out your own info again. If you don't think they would care to participate, go ahead & OTHER SCHOOL INFO Please note: only provide other people's emails if it is within your comfort zone to do so--we won't spam them, but understand why you may not be comfortable divulging that information. Does your school have a radio station/radio club? Yes No If yes, name of station: Faculty Advisor Radio Advisor email (if known) Does your school have a TV station/program/video club? Yes No If yes, name of station/program: Faculty Advisor: TV Advisor email (if known): Does your school have a newspaper? Yes No If yes, name of paper: Questions/anything else we should know: You are now current and/or signed up for the 2011-12 school year. Thank you for your interest & we look forward to working with you!