On-line Music Panel

Last Survey Results:
This Is Amazing Grace: Phil Wickham
Let Them See You: J Weeks Band
With Every Act Of Love: Jason Gray
Press On: Building 429
All The People Said Amen: Matt Maher
I Am: Crowder
You Won't Let Go: Michael W. Smith
Do Something: Matthew West
Closer To Your Heart: Natalie Grant
People Like Me: MIKESCHAIR
Forever: Kari Jobe
No One Higher: Aaron Shust
Hope in Front of Me: Danny Gokey
Fill out this form and we'll make you a part of KBNJ's on-line music panel. About every 2 weeks you'll be asked to sign in and give us your feedback on some of the songs we're playing and other aspects of the station. The survey should only take about 15 minutes to complete each week. We'll be doing regular drawings for those who participate, so sign up today.

First Name:
Last Name:
Email:
Address:
City:
State:
Country:
ZIP Code:
Phone*:
Gender:
Age:
Church*:
Listen At:home   work   car   on-line
Spouse's Name*:
I want to be part of KBNJ's survey team.
Please email me when a new survey is available.
I want to be part of KBNJ's prayer team.
Please email me regular prayer requests.
I want to get KBNJ's on-line newsletter.
* Optional information.