Join the Mixx 96.1 Loyal Listener Club!

Color Graphics Fill out the form below to become a member of the Loyal Listener Email Club for Mixx 96.1 in Olympia, Washington, USA!

As a member you'll be eligible for exclusive member contests and giveaways, such as free tickets to movies and home and garden shows. When you join the club, you will be automatically entered in the latest drawing for a new netbook computer (click here for contest details) from 4th Dimension Computers and receive weekly Mixx96Mail emails with station and community events updates. You'll also receive birthday greetings.

We send all new members a confirming email. If you do NOT receive such an email, something has gone terribly wrong and you should call me, John, at 360-943-9937.

All information provided is kept confidential, and we do not share your information with anyone.

The Mixx 96.1 Loyal Listener Club is sponsored by Color Graphics and Deer Creek Awards.

Name and Address information
First Name MI Last Name
Address 1
Address 2
City State
Province		 Zip/Postal Code
Country
Phone and Contact information
Home Phone
Work Phone
Fax Number
Birthday
Email address
Is it OK to send you email at this address? yes no
(no junkmail, or ads for inappropriate web sites, we promise!)
Suggestions,
Comments
If there is more than one loyal listener in your household
and you'd just like to receive one newsletter, fill out a
membership form for each person (so she/he will get birthday
goodies), but tell us here what name should be on the
newsletter and which loyal listeners will be reached by this
newsletter: