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Tell Us About Your Birthday
PLEASE FILL IN ALL SPACES INCLUDING ADDRESS AND PHONE NUMBER

Birthday Name: 
Home Address: 
City: 
State: 
Zip Code: 
Telephone:   Include Area Code
 
When is the birthday?
  
Will Be How Old: 
Additional info: 
Tell us about hobbies, 
parents, achievements, 
jobs, or any other fun 
or interesting stuff. 

   

Let Your Hometown Country Station make your birthdays really special! Send us your birthday names a few days in advance. Then join us each day as we light the candles on the cake and send out a special Happy Birthday! on the 93.9 WMEV Birthday Club.