Request A Song

Got a favourite song you want us to play?

Just fill out the form below, and make sure to include your phone numbr. We may just call you to introduce your song.

Personal details

First name:

Last Name:

Birth Date:

GenderMale
Female

Address details

Street Address

Suburb

State

Postcode

Phone number

Form Details

Tell us your Four artists and their song titles you want to hear:

Legal bits

Yes, I would like to receive the Mix 94.5 Newsletter

Yes, I have read, understood and agree to the Terms and Conditions