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Colton Dixon

 

LIVE MUSIC TEST APPLICATION

 
Word FM 2017 Live Music Tests will take place in the Harrisburg area (on June 12) and the Lehigh Valley area (on June 13)!!

Please fill out the application below completely and truthfully for participant consideration. You will receive a call back for further screening if you qualify ... there are certain demographic requirements for this test. If you would rather be screened by phone, please call 276.365.TEST (8378) and leave your name and phone number. Please Note: All fields are required.

 

Full Name

Please list a few of your favorite bands / artists.

Including yourself, how many members of your household are employed by a radio or TV station, newspaper, advertising agency, or marketing research firm?

Within the last 18 months, how many marketing research studies of any kind have you participated in?

Within the last 18 months, how many market research studies related to music or radio stations have you participated in?

 

Address

City

State

ZIP Code

Phone

Email Address

Gender

Age Range

Your most listened to Word FM radio station?

Hrs. per week?

Your Preferred Testing Center: Allentown, PA  Mechanicsburg, PA

 
 
 
88.1 FM Harrisburg + Warwick, PA 88.3 FM East Nottingham + Chambersburg, PA 88.7 FM Stroudsburg, PA 88.9 FM Sellersville, PA 89.1 FM Hawley + Mohrsville, PA 90.1 FM Newburg, PA 90.3 FM Schnecksville, PA 90.5 FM Bechtelsville, PA 90.7 FM Spring Grove, PA 90.9 FM Honesdale, PA 91.7 FM Hagerstown, MD 91.9 FM Wyomissing, PA

 
 

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