Register Here!
First Name
Last Name
Address
City, State
,
Zip Code
Phone
(For prompt prize notification, when you win from us.)
Birthday
(example: 12/25/1970)
Gender
Male
Female
E-mail
(A valid email address is required so you can participate.)
Password
(Pick a simple but unique password. Note: Password will visible to anyone you share this email account with.)
Station You Listen To Most
Bridge 96.7 FM
Cars 108
Z 92.7
B 95.1
Banana 101.5
Club 93.7
K 107.3
CK 105.5
Whnn 96.1
Your 2nd Choice Station
Bridge 96.7 FM
Cars 108
Z 92.7
B 95.1
Banana 101.5
Club 93.7
K 107.3
CK 105.5
Whnn 96.1
Listen Hour+ a Day?
Yes
No
(You listen to radio a hour or more a day)
Sign Up for Music Surveys?
Yes
No
(email when survey is ready.)
Sign Up for Contests?
Yes
No
(email me for contests.)
We respect your privacy and we will not share or disclose your personal information without your permission. Please fill out completely and accurately. If you are under age 13, please have your parents fill this out. Must Be 18 years old to participate in drawings or contests.