Andy and Aaron's Birthdays and Anniversaries

Use the form below to submit your birthday and anniversary announcements!

Please submit your requests at least two weeks in advance.

1.What type of submission?*

2.Name for Anniversary Couple or Person Celebrating Birthday:

3.Enter the date of the celebratory event:

Celebratory Month*

Celebratory Day*

Celebratory Year*

4.Address for Anniversary Couple or Birthday Person (optional):

Street Line 1

Street Line 2

City

State

Zip Code

5.Enter your contact information (optional):

First Name		M.I.		Last Name

Email Address		Daytime Phone		Evening Phone

	YES, I would like to receive special announcements about other great station offers and promotions.

	YES, I would like to receive special offers from trusted partners.

7.Please enter your date of birth.

Month*		Day*		Year*


	8.Terms and Conditions

	YES, I have read, understand, and agree to the Web site usage agreement and privacy policy.


	* represents required fields Children under the age of 13 may not submit this form.