103.7 Lite FM wants to make sure you get your Birthday/Anniversary wishes to us!

Simply fill out the form below.

To ensure that the Birthday is included on the birthday list, please submit it by 7pm the prior day but not more than 36 hours before.

*Must live within the 103.7 Lite FM listening area to win

Thanks for listening and Happy Birthday/Anniversary!!!

First Name:
Last Name:
City:
State:
Day Phone:
Person's name who is celebrating a Birthday:
How old is he/she:
Where is he/she from:
When is their Birthday?:
E-Mail Address:
 
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