94.3 KILO Pure Rock 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

3 Enter your email address

4 Gender

5 Your birthdate

6 Your zip/postal code

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

8 Which station did you listen to the most in the past week (choose only one):

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