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Fill out the info below first with your name, address, et al.  Put your wish in the boxes below and then listen for your birthdays on 99-3 WAJK weekday mornings at 7:40 & 10:40.
If you are sending more than one birthday, email birthdays@993wajk.com.  Make sure you include, who the birthday is for, when it is, and who the birthday wish is from.  Thanks!
First Name:*  
Last Name:*  
Email Address:*  
Address 1:*  
Address 2:
State, Zip:* ,  
1. Happy Birthday/Anniversary to:
2. How old/many years?
3. When are they celebrating?
4. Who is the wish from?
Verification Image
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I Certify that I am 13 years of age or older.