Loyal Listener Club
Registration

Note: You must be 13 or older to register. Thank you!

1

Please select a Username (username must be one word).


2

Please select a password. For security, your password should be at least 6 characters, include both letters and numbers, and be different from other passwords you use to access personal data.


3

What is your email address?


4

What is your first name?


5

What is your last name?


6

What is your gender?

Male
Female

7

What is your birthdate?

Day Month Year

8

What city do you live in?


9

What state do you live in?


10

What is your zip or postal code?


11

What country you live in.


12

Which best describes your ethnicity?

African-American
Asian
Caucasian
Hispanic
Native American
Other
I would rather not say

13

In a typical listening day, what types of music do you listen to? Select all that apply.

Smooth Jazz – Boney James, Sade, George Benson
Adult Contemporary - Miley Cyrus, Seal, Taylor Hicks,
Rock - U2, Metallica, AC/DC
Country – Rascal Flatts, Tim McGraw, Carrie Underwood
Urban Contemporary – Beyonce, Eric Benet, Jennifer Hudson
Talk – Rush Limbaugh, Sean Hannity, Dave Ramsey
Adult Album Aternative – Counting Crows, Chris Issak, Indigo Girls
Gospel - Marvin Sapp, Hezekiah Walker, Kirk Franklin

14

What is your favorite type of music?

Smooth Jazz – Boney James, Sade, George Benson
Adult Contemporary - Miley Cyrus, Seal, Taylor Hicks,
Rock - U2, Metallica, AC/DC
Country – Rascal Flatts, Tim McGraw, Carrie Underwood
Urban Contemporary – Beyonce, Eric Benet, Jennifer Hudson
Talk – Rush Limbaugh, Sean Hannity, Dave Ramsey
Adult Album Aternative – Counting Crows, Chris Issak, Indigo Girls
Gospel - Marvin Sapp, Hezekiah Walker, Kirk Franklin