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Please select a Username (username must be one word).
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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.
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3 |
What is your email address?
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4 |
What is your first name?
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What is your last name?
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6 |
What is your gender?
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Male
Female
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7 |
What is your birthdate?
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Day |
Month |
Year |
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8 |
What is your zipcode?
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9 |
Which of these radio stations have you listened to at least once in the past week? (please select all that apply)
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The Fish
Coast 103.5
99.5 KKLA
K-WAVE, 107.9
Jack FM
104.3, MY FM
102.7, KISS FM
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10 |
Which ONE of these radio stations have you listened to MOST in the past week?
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The Fish
Coast 103.5
99.5 KKLA
K-WAVE, 107.9
Jack FM
104.3, MY FM
102.7, KISS FM
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11 |
How much time do you spend listening to the radio in a typical day?
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Less than an hour
1 to 3 hours
More than 3 hours
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12 |
Please indicate how you'd like to be involved with The Fish:
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Listener Advisory Board (offer opinions on our music)
Receive email updates of Fish contests, special offers and our newsletter
Both
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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.
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Yes
No
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