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Order A Request

Every day we broadcast Request Shows to each hospital and this is where you get to choose the music, if you or somebody you know will be in hospital in the near future then why not pre-book a request now.  All you need to do is complete the form below and we will play it for you.

Please complete all boxes as failure to do so may result in us being unable to broadcast your request.*  

If you would prefer to phone with your request then please call (023) 9260 1600 or fax it to us on (023) 9258 6866.

Please give at least 48 hours notice for an online request, we will endeavour to broadcast any requests received within this time but it cannot be guaranteed.  If you have a short notice request please phone it through on (023) 9260 1600.

*Radio Haslar respects your privacy and as such will only use the information you provide for the purpose of the request, in accordance  with our Privacy Policy for this website

 
Your First Name:
Your Last Name:
Your Email Address:
Contact Telephone Number:
Patient Name:
Which Hospital will You / Patient be in: War Memorial
Ward Name / Number:
Artist You Would Like Played:
Title of the Song You Would Like Played:
Message To Be Broadcast with Request: 
Date You Would Like Request Broadcast:

 

Hospital Radio for the Gosport War Memorial

Radio Haslar is a non profit making organisation, Registered Charity No:1011450
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