This is a modified version of the request form at www.clamhead.com/drdrequest.html with a request pre-inserted for your convenience.

To request a song for the Dr. Demento Show, fill out the form below and click "Request." Your request/comment/suggestion will be sent directly to the good Doctor.
 Name:
City, State, Country:
 Radio Station:
E-mail address:
Request:

Comments: