WIXX's $1,000 Minute - Register to Play!

Your Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Gender*

MaleFemale
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
I'm available to play at:*

7:05am8:05am
Tell Us Something Interesting About Yourself
I agree that I will not be driving a vehicle or doing anything else that may put the public in danger while participating in this contest.*

Yes
I would like to sign up for the WIXX Email Club to receive weekly communications via email about other upcoming events, concerts, giveaways, and more from 101 WIXX. (Your information will not be sold to third-parties and you can unsubscribe at any time)
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Your Information