103.7 lite fm Music Listener 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
Please Select a Username (user name can only be one word). You will use this username to log into surveys.
Try to use something a little unique like your first and last name combined, your hobby, birthday, etc.
2
Please select a password. You will need to enter your password when you log into each survey.
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
Stations you've listened to at least once in past week (multiple choices okay):
The New 103.7 lite fm
KDMX - Mix 102.9
KHKS - 106.1 Kiss FM
KLUV - 98.7 K-Luv
KPLX - 99.5 The Wolf
94.9FM KLTY
100.3 Jack-FM
10
Which station did you listen to most in the past week (choose only one):
The New 103.7 lite fm
KDMX - Mix 102.9
KHKS - 106.1 Kiss FM
KLUV - 98.7 K-Luv
KPLX - 99.5 The Wolf
94.9FM KLTY
100.3 Jack-FM
11
How much time do you spend listening to the radio in a typical day?
None
1 hour or less
More than 1 hour
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