Listener Advisory Panel 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

 

Your first name:

2

 

Your last name:

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Please enter your email address:

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Gender:

Male
Female

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Your date of birth:

Month Day Year

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Your zip code:

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Which of these radio stations have you listened to at least once in past week? (check any/all that apply)

96.1 Joy-FM
Star 102.5
Classic Hits 104.1
Kiss 98.5
92.9 Jack-FM
97 Rock
WBEN News Radio 930
Country 106.5, WYRK

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Which one of these stations did you listen to MOST in the past week?

96.1 Joy-FM
Star 102.5
Classic Hits 104.1
Kiss 98.5
92.9 Jack-FM
97 Rock
WBEN News Radio 930
Country 106.5, WYRK

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

Less than 1 hour
1-3 hours
3 hours or more

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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