Music Team
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?

Month Day Year

8

 

What is your zip/postal code?

9

 

What is your State/Province?

Washington
British Columbia
Other, please specify

10

 

Which of these radio stations have you listened to at least once in the past week? (please select all that apply)

Praise 106-5
Kafe 104.3
92.9 KISM
94.1 KMPS
104.9 Clear FM
93.7 JR FM
98.3 Star FM
103.5 QM/FM
94.5 The Beat
Other, please specify

11

 

Which ONE of these radio stations have you listened to MOST in the past week?

Praise 106-5
Kafe 104.3
92.9 KISM
94.1 KMPS
104.9 Clear FM
93.7 JR FM
98.3 Star FM
103.5 QM/FM
94.5 The Beat
Other, please specify

12

 

Do you regularly listen to KWPZ on your computer?

Yes
No

13

 

We just want to verify that you know you're signing up to receive e-mail messages from us. Note: All submitted information will remain confidential and will not be used for any other purpose.

Yes
No