1330 WFIN - Findlay Ohio

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First Name		Initial		Last Name
Address
City	State				Zip Code
Area Code, Phone With Area Code (Use only numbers)
Email (example: yourname@yourhost.something A valid address is required)
Birthday / / (MM/DD/20YY)		MaleFemale		Shirt Size
Number of Children Age Ranges (youngest-oldest)
Do you listen to the radio at work? YES NO			What station do you listen to at work? (Leave blank if you answered "no" to the previous question)
Contact me via email regarding special events, advance ticket sales and special WFIN Loyal Listener offers.. YES NO