WQCM 94.3

WQCM Perfect Hair Playlist Entry Form

Starting Oct. 5th, every Friday Night Jeff Whipp turns the 80's at 8 over to you. Submit your "Perfect Hair Playlist" and each week he will select a different entry.

First name:	Address:
Last name:	City:
Email:	State:
Phone:	Zip:
Mobile:	Gender:	male female
Best time to call:	Date of Birth:
Enter 15 songs for your Perfect Hair Playlist:

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