The Relaxation Station

Spring 2014

Spring Survey 2014

Please complete ALL of this form. You will then be eligible to win prizes on EASY Radio. BEGINNING MAY 1st, listen Monday through Friday at 9:15AM and again at 12:15PM for your name. If we call your name, you've won. All you have to do then is come pick up your prize package! However we will NOT provide names over the phone, and we will NOT be posting winner's names on our website. So LISTEN TO WIN!

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Phone:
Your Favorite Song:
Your favorite Musical Artist:
Your Favorite TV Show of all time:
Your Favorite Book:
Your Favorite place to Vacation:
Your Favorite Movie of all time:
Your Original Home Town:
Your Favorite Restaurant in MB Area:
E Mail

Comments: