Alternative Broadcast Inspection Remittance Payment You will need to complete a separate form for each station. Call Letters(Required) Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact InformationName(Required) First Last Email(Required) Phone(Required)Payment AmountABIP Inspection Fees are Per Each Licensed Station (AM/FM Translators are included in the cost).You will need to complete a separate form for each station.Reinspection fees may apply if another visit by an inspector is needed*How would you like to pay?(Required) Pay with Credit Card Please invoice me Where should the invoice be emailed?(Required) Inspection Fee(Required) Member Inpsection - $750 Non-Member Inspection - $850 Total Credit Card(Required)Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.