SUBMIT YOUR NAME AND BIRTH DATE AND WE WILL ANNOUNCE YOUR BIRTHDAY ON THE DOCK 103.9 BIRTHDAY CLUB.
Please give us a few days advance notice of your birthday so we can be sure to get it on the air and on the Dock Info Line.
* Name:
* Birthday:
* City and State:
* Email Address:
* Comments
* All fields are required to be filled out to submit your Registration to the Dock Birthday Club...