Wild 104 DQ Birthday Club
Send us your birthday wishes and listen for them at 7:30 am. PLUS, someone will win a DQ Birthday Cake and Meal of the Day. Deadline for submission is 24 hours before birthday.🥳
Deadline for submission is 24 hours before birthday.
Name of Birthday
*
First Name
Last Name
Your Name
*
First Name
Last Name
Your Email
example@example.com
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Telephone Number
Month of Birthday
Please Select
January
February
March
Birthday Shout Out. What do you want us to say? Keep it short.
Include item numbers and sizes if known.
Would you like to receive a second chance coupon by email from Dairy Queen if you do not win?
Yes
No
Submit
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