101 WIXX 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 (user name can only be one word)
Try to use something a little unique like your first and last name combined, your hobby, birthday, etc.

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
Month Day Year

8

 

Your zip code

9

 

Which stations have you listened to at least once in past week? (multiple choices okay):
101 WIXX
95.9 KISS-FM
98.5 - Star 98
100.3 - Y100 WNCY
106.7 - Cruise FM WKRU
99.7 & 94.3 "The Drive" WYDR
Razor 94.7
93.1 / 93.5 "93 Rock"

10

 

Which station did you listen to most in the past week? (choose only one):
101 WIXX
95.9 KISS-FM
98.5 - Star 98
100.3 - Y100 WNCY
106.7 - Cruise FM WKRU
99.7 & 94.3 "The Drive" WYDR
Razor 94.7
93.1 / 93.5 "93 Rock"

11

 

How much time do you spend listening to the radio in typical day?
1 hour or less
1-3 hours
3 hours or more

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