Birthday Club

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...

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