Fox FM

First Name

Last Name

eMail Address

Gender

Female

Male

Birth Date

- - (Use 4 digits for the year)

Street Number:

Street Name:

Suburb or Town:

State:

Postcode

Daytime Contact: (Contest or competition winners may be notified by phone)

In an average week, how much time do you spend listening to the radio?

Fewer than five hours per week
Five to 10 hours per week
More than 10 hours per week

Which radio stations have you listened to (for at least 15 minutes) during the past 7 days, including at home, at work, in your car, or on your portable radio player?

Fox FM Nova 100 Mix 101.1 105.1 Triple M
Gold 104 Triple J Vega 915 3AW
3MP SEN 1116 Sport 927 Other

During a typical 7-day week, which ONE radio station would you listen to MOST for music?

Fox FM Nova 100 Mix 101.1 105.1 Triple M
Gold 104 Triple J Vega 915 3AW
3MP SEN 1116 Sport 927 Other

Comments about Fox FM:

You agree to receive email from us containing:

Invitations to participate in online surveys.
Exclusive information about free concert tickets, movie passes, and other cool stuff!
You agree that your registration details may be used in prize draws and exclusive promotions (you could win prizes!)

The contact information you submit is confidential. It will only be used for Fox FM and will not be provided to any other party. You may remove yourself at anytime. Members must be at least 13 years old. Members are also required to provide truthful information. We will reject duplicate entries or any entry that we discover to be false or fraudulent.

Update your Fox FM's Rate The Hits account | Remove yourself from the Fox FM's Rate The Hits | Privacy Policy