Listener Advisory Board Registration


Note: Federal law prevents your registration if you are under 13 years of age. Thank you!

Simply fill in the blanks (all blanks are required) and you'll be registered to give us your opinions. It's that easy!
1

Please Select a Username (username can only be one word)

2

Please select a password

3

Your first name:

4

Your last name:

5

Enter your email address:

6

Gender:

Male
Female
7

Your birthdate:

Day Month Year
8

Your zip code:

9

Which types of stations have you listened to at least once in the past week (multiple choices okay):

Faith Radio
News / Talk Radio
Sports / Talk Radio
National Public Radio
Christian Music Radio / Life FM
Christian Music Radio / K-Love
Other Christian Music Radio
Oldies Radio
Country Radio
Top 40 Radio
Classic Rock Radio
Adult Contemporary Radio
10

Which type of station did you listen to MOST in the past week (choose only one):

Faith Radio
News / Talk Radio
Sports / Talk Radio
National Public Radio
Christian Music Radio / Life FM
Christian Music Radio / K-Love
Other Christian Music Radio
Oldies Radio
Country Radio
Top 40 Radio
Classic Rock Radio
Adult Contemporary Radio
11

How much time do you spend listening to the radio in a typical day?

1 hour or less
1-3 hours
More than 3 hours
12

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

Yes
No