On-line Music Panel

Last Survey Results:
Back to You: Mandisa
We Believe: Newsboys
The Broken Beautiful: Ellie Holcomb
Waterfall: Chris Tomlin
Today Is Beautiful: David Dunn
King Of My Heart: Love & The Outcome
He Moves You Move: Audio Adrenaline
Start A Fire: Unspoken
Multiplied: NEEDTOBREATH
Nothing At All: Brian Weaver
God Is: Holly Starr
O Love Of God: Laura Story
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 the KBNJ Alert.
* Optional information.