94.1 JJO Advisory 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)
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

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

WHA 970AM
WTSO 1070AM
WIBA 1310AM
WHIT 1550AM
WTDY 1670AM
WERN 88.7FM
WJQM 93.1FM
WJJO 94.1FM
WOLX 94.9FM
WMAD 96.3FM
WMGN 98.1FM
WTLX 100.5
WIBA 101.5FM
WNWC 102.5FM
WZEE 104.1FM
WXRX 104.9FM
WCHY 105.1FM
WMMM 105.5FM
WWQM 106.3FM
WSJY 107.3FM

10

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

WHA 970AM
WTSO 1070AM
WIBA 1310AM
WHIT 1550AM
WTDY 1670AM
WERN 88.7FM
WJQM 93.1FM
WJJO 94.1FM
WOLX 94.9FM
WMAD 96.3FM
WMGN 98.1FM
WTLX 100.5
WIBA 101.5FM
WNWC 102.5FM
WZEE 104.1FM
WXRX 104.9FM
WCHY 105.1FM
WMMM 105.5FM
WWQM 106.3FM
WSJY 107.3FM

11

How much time do you spend listening to the radio in 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