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)

2

 

Please select a password (for security, it should be at least 6 characters, contain both letters and numbers, and be different from other passwords you use for sensitive information)

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 types of stations have you listened to at least once in the past week (please check all that apply):

Family Life Radio
Adult Contemporary
Country
Classic Rock
Rhythm & Blues
Classical
Public Radio
Oldies
News-Talk

10

 

Which type of station did you listen to MOST in the past week (choose only one):

Family Life Radio
Adult Contemporary
Country
Classic Rock
Rhythm & Blues
Classical
Public Radio
Oldies
News-Talk

11

 

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

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

12

 

We just want to verify that you know you're signing up to occasionally receive e-mail messages from us. Note: All submitted information will remain confidential and will not be used for any other purpose.

Yes
No