Mixx 96.1FM Join the Club Form

Join the Mixx 96.1 Loyal Listener Club!

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 sneak preview movies and home and garden shows. When you join the club, you will be automatically entered in the latest drawing for a new computer (click here for contest details) from 4th Dimension Computer. You'll also receive birthday greetings and station and community events updates.

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.

NOTE: If you are already receiving Mixx96Mail, please do not fill out the form again. You are only eligible for the computer drawing the first time you join the club. However, you may enter directly at 4th Dimension Computer, 1027 4th Avenue E. (corner of 4th and Eastside), Olympia, Washington. The Mixx 96.1 Loyal Listener Club is sponsored by Color Graphics and Deer Creek Awards.

All information provided is kept confidential, and we do not share the information you provide with anyone.


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: