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*Do you listen to the radio?
YesNo


*Click on the player above and listen to the handful of songs. How often would you listen to a radio station that played this mix of music?
Often, one of my favouritesOnce in a while, a second favouriteNot very often or never


*Sex:
MaleFemale


*Date of Birth:

Day

Month

Year

*Do you live in Cork City or Cork County?
Cork CityCork County

The contact information you submit is confidential. It will only be used for Corks Music Survey and will not be provided to any other party. Your participation in surveys and reception of emails depends exclusively on the information you provide to us in this application or subsequent modifications to your profile. Your personal information is being collected using technology provided by COMPANY_NAME, and is being stored on computers maintained by COMPANY_NAME. Federal law requires members must be at least PARTICIPANT_MINIMUM_AGE years old. Members are also required to provide truthful information. We will reject duplicate entries or any entry that we discover to be false or fraudulent.
I have read and understand the above statement. Please continue.
I do not concent. Please remove me.
The contact information you submit is confidential. It will only be used for Corks Music Survey and will not be provided to any other party. Your participation in surveys and reception of emails depends exclusively on the information you provide to us in this application or subsequent modifications to your profile. Your personal information is being collected using technology provided by COMPANY_NAME, and is being stored on computers maintained by COMPANY_NAME. Federal law requires members must be at least PARTICIPANT_MINIMUM_AGE years old. Members are also required to provide truthful information. We will reject duplicate entries or any entry that we discover to be false or fraudulent.
 


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