Music Team Registration


Please 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 must be one word)


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/postal code


9

Which stations have you listened to at least once in the past week? (multiple choices okay)

104.9 The River
610 WTVN
880 The Word
92.3 WCOL
Sunny 95
Mix 97.1
97.9 WNCI

10

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

104.9 The River
610 WTVN
880 The Word
92.3 WCOL
Sunny 95
Mix 97.1
97.9 WNCI

11

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

Less than an hour
1-3 hours
More than 3 hours

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