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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!

And remember you can always call or text your wish to 815-223-9999.  
First Name:*  
Last Name:*  
Email Address:*  
Address 1:*  
Address 2:
State, Zip:* ,  
1. Who is celebrating?
2. How old/how many years?
3. When are they celebrating?
4. Who is this wish from?
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