Word FM

Thank you for signing up for the WordFM Music Team! Your opinion is very important to us.
Please fill out the following information so we may better track your listening preferences.
---The staff at Word FM.

Please note: By Federal law you must be 13 years of age or older to participate in these surveys. Thanks!

First Name:  
Last Name:  


Address 1
Address 2
State / Province
Zip / Postal Code



Please check the box below to verify that you acknowledge the fact that you're signing up to occasionally participate in online music surveys from us and that you will be sent email messages from us from time to time?

I am interested in participating in national music surveys from the Hit Music Crew to give my opinion about other songs being produced within the Christian music industry (Checking "No" does not affect your ability to participate in the WordFM Music Team)?

I am interested in being sent occasional information via email from the Hit Music Crew about other products/services that may be of interest to me (i.e. concerts, new music releases, artist interviews etc. (Checking "No" does not affect your ability to participate in the WordFM Music Team)

Which of these stations have you listened to in the past week?

Of these stations, which would you consider your favorite?

How much time do you spend listening to the radio on an average day?

Which styles of music do you really enjoy listening to? (check as many as apply)