Submission   
 
Submit a Birthday or Anniversary
 
Do you know someone having a birthday or anniversary? Please fill out the form below to have your wish included on the NBC16 morning news.
 
Your Information
 
* Your First Name: 
 
* Your Last Name: 
 
* Your Email: 
 
Your Phone: 
 
Birthday or Wish Information
 
* Name: 
 
Age: 
 
* Date: 
 
Special Message: 
 
  Words Remaining:
 
Photo: 
 
  Please upload a JPEG file (.jpg or .jpeg)
 
Double check to make sure your entry is correct and then hit submit below.
By submitting the form you are confirming you are at least 13 years of age and have read and agreed to our terms of service, and privacy policy.
 
 
 

Birthday Club

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