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Just fill out this short form and you'll be registered in the D99.3 Birthday Club! Everyone Who Listens To D99.3 Will Know That It's Your Special Day! Birthday Announcements Are Read Live At 7:40am, 11:40am, 3:40pm, and 7:40pm Everyday! ===Plus, One Name Will Be Drawn Each Day To Win A Delicious Large Ice Cream Cone From The B.P. Pit Stop in Mineral Point!

Sign Up Now!

Please tell us if you are:   A New Member   Updating My Info

Name:  

Pronunciation:   (if necessary)

E-mail:  

Street Address:  

City/State/Zip:  

Phone number:  

Birthday: (year required)  

Confirm Birthday:   

Gender:   M   F


Thanks for signing up. D99.3 respects your privacy and will not share this information with any third parties. Please call the office of D99.3 at 935-2302 if you are signing up within seven days of the birthday. HAPPY BIRTHDAY! HAVE A GREAT DAY!




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