1 What is your email address?

2 What is your first name?

3 What is your last name?

4 What is your gender?

5 What is your birthdate?

6 What is your street address?

7 What city do you live in?

8 What is your zipcode?

9 What is your phone number (including area code)? This will only be used to contact you if you've won something fun from HANK!

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

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

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

13 Name 5 classic/retro country artists that you love hearing on Hank!

14 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.