Intake form

Help us serve you better

Name *

Email address *

What type of music do you prefer?

Please select at least one option.

Pop

Rock

Hip-Hop

R&B

Electronic

Jazz

Classical

Reggae

Indie

How did you hear about RADIO 017?

What time do you typically listen to the radio?

Do you have any favorite radio shows or hosts?

Are you interested in participating in radio events or contests?

What is your location?

Additional questions or comments

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