Listen to Love 96.1 while you work to earn a
Love 96.1 Work Perk!

Fill out the form below and tell us when and where you and your co-workers listen. If we pick your office, we'll call and ask you what we just played. If you can tell us, you win!

Enter by completing the following information.
One Entry Per Person Please!
Multiple Winners will be selected!
 
* First Name:    
* Last Name:    
* Email:    
* Home Street:    
Apartment:    
* Home City:    
* Home State:    
* Home Zip Code:    -
* Home Phone:    - -
* Business Name:    
Business Title:    
Business Type:    
* Business Street:    
* Business City:    
* Work State:    
* Work Zip Code:    -
* Business Phone:    - -
Extension:    
Wireless Phone:    - -
* Birthdate:     
* Gender:   Male Female
* How many people work in your office (up to 25)?    
* Name of your boss (if its you say SELF.)    
* What is your favorite song to sing along at work to on Love?    
* What days and hours do you work?    
   

* Denotes Required Field
   

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