The one-time service charge entitles you to have your Radio History listed on 440: Satisfaction (your radio history will be added within 10 days of our receipt of this agreement and your payment). 1) Submit your/his/her radio history. Please use the on-line Radio People Submission Form (at http://www.440.com/namesub.html) or send the following info to autosub@440.com: For each station: Station call letters, year you started/left, position held, name used ... and, what you/he/she is/are doing now. 2) Print, sign and enclose this agreement with your payment of US$25 (please make check payable to 440 International Inc.) and mail to: 440 International Inc. Dept RHLA 426 Ilimano St. Kaneohe HI 96734-1827 440 International Inc. Radio History Listing Agreement: I hereby certify that the facts I have submitted to 440 International for publication on the 440: Satisfaction Web site(s) are true to the best of my knowlege, and I assume full and complete responsibility for the information submitted. I hereby agree to indemnify and hold 440 International Inc. harmless from and against all demands or claims of liability because of information I have submitted. Additionally, I understand and agree that it is my sole responsibility to notify 440 International Inc. of any changes and/or updates to the data I have submitted. I further understand that every effort will be made by 440 International Inc. to ensure the accuracy and completeness of information submitted by me and published by 440 International Inc. If I do spot an error, I will bring it to the attention of 440 International Inc. by sending an e-mail to: rhlafix@440.com. ____________________________________ Signed ____________________________________ Date ____________________________________ Name you submitted ____________________________________ Date of original submission ____________________________________ Your current e-mail address (440RHLArev0806)