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
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November
December
Date of Birthday
Please Select
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How Old Will They Be Turning?
Please Select
Don't Want to Say
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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
Should be Empty: