95.5 WIFC Listener Advisory Board 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

What e-mail address would you like our surveys and messages to go to?

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? (check all that apply):

95.5 WIFC
101.9 WDEZ
97.9 True Oldies
Lite 96.7
Big Cheese 107.9
Z104
106.5 WYTE
10

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

95.5 WIFC
101.9 WDEZ
97.9 True Oldies
Lite 96.7
Big Cheese 107.9
Z104
106.5 WYTE
11

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

1 hour or less
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