WMIT 106.9 The Light Listener Advisory Council 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

Day Month Year
8

Your zip/postal code

9

Your phone number (including area code)

Providing your phone number is optional. We are requesting this information so that we may be able to provide you with services and opportunities in the future via telephone contact. Your telephone number will be retained for station use only. Blue Ridge Broadcasting (BRB) is committed to maintaining your trust and confidence and will never sell, rent, lease or exchange your personal information with other organizations.


10

Which of these stations have you listened to in the past week? (check all that apply):

WMIT - 106.9 The Light
HIS Radio (WLFJ-WLFA)
WRCM 91.9 fm
WLYT Lite 102.9
WMYI My 102.5
WBT 1110 am, 99.3 fm
11

Which of these stations did you listen to MOST in the past week? (choose only one):

WMIT - 106.9 The Light
HIS Radio (WLFJ-WLFA)
WRCM 91.9 fm
WLYT Lite 102.9
WMYI My 102.5
WBT 1110 am, 99.3 fm
12

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

None
1 hour or less
More than 1 hour
13

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