JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Radio Auction VIP Sign up
Use this number to easily purchase items during the next radio auction.
This number will be good for all future Radio auctions with KRKT and KLOO.FM.
Your number will be sent to the email provided. Be on the look out for that number!
If you have forgotten your number at any point or are unsure if you have a number already please call us at 541-926-8628, Monday- Friday 8 am -4 pm
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Alternate Phone Number
Your answer
Finish this sentence. It's not just country....
*
It's Hometown country
It's old town country
Its Cricket Country
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms