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?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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
.