DAB+ RADIO REQUEST

Your Personal information

First Name

Last Name

Mobile phone

Verified

Am I the recipient of the DAB Radio?

Yes

YOUR ADDRESS

Street Address

City

Town / County

Postal Code

Country

RECIPIENT'S PERSONAL INFORMATION

First Name

Last Name

Phone Number

How is the recipient related to you?

RECIPIENT'S ADDRESS

Street Address

City

Postal Code

Country

State/Province

I have permission to share the recipient’s details with you.

By providing someone else's details, you confirm you have their permission or authority to do so. We will contact them to arrange delivery and explain how we handle their data.

WRITE YOUR MESSAGE TO RADIO MARIA HERE

Please type any special instructions or details about the recipient that would be helpful for us to know

I have read and accepted the Privacy Policy.

I authorise the use of my personal data to stay informed about the mission and the projects of Radio Maria by post/ email/ sms/ phone or any other electronic media.

< Back