BTW21 - Birthday Time

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	About BTW 21 : Birthday Time

Birthday Time Contest Rules:

Submit one entry form only.  Duplicates will be rejected.
Entries must be submitted at least seven (7) days in advance, and not more than 90 days before the birthday date.

BTW21 will draw winners every Monday during the live programs.  Win a Birthday Cake, provided by "Cakes with Personality"

The chance of winning this contest depends on the number of valid entries submitted.   This contest may be discontinued at anytime without prior notification.

Sponsored by Cakes with Personality & Café Delight
2616 Virginia Ave, Collinsville, VA 24078. (276) 647-8941
They are located between the Salvation Army and Bryant Everest Flower Shop.
Visit their website at www.cakesandcafedelight.com

Contest Entry Form
Complete the form below to enter the drawing. Give your name as the contact name, and separately give the first and last name of the person having the birthday. Please be sure to include the area code with your contact phone number.

Birthday Time Entry

Contact Name:*
Phone:*
Email:
First Name:*
Last Name:*
Address:*
City:*
State:
Zip:*
Birthday:*	Calendar
Date needs to be in the format MM/DD/YYYY. For example, 12/31/1995
Age you will be on your birthday:
Comment:

Please enter the code shown above:

* Required

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