WIFR Birthday and Anniversary Submission

Birthday and Anniversary Submission

Use the form below to submit your birthday and anniversary announcements! Please submit your requests at least two weeks in advance. Daily winners receive a $10 Lino's gift certificate. Winners are chosen randomly and must be at least 18 years of age.
Are you submitting this form for a birthday or an anniversary?*

BirthdayAnniversary
Name for Anniversary Couple or Person Celebrating Birthday*

First NameLast Name
First NameLast Name
Enter the date of the celebratory event:*
Address for Anniversary Couple or Birthday Person*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Enter your contact information (optional)

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
I would like to receive information from trusted partners in the following categories:

AutomotiveCouponsEntertainment/TravelGifts/JewelryHealth & WellnessHome ImprovementsLawn CareRestaurantsSalon & Spa Services
Please enter your date of birth.*

MonthDayYear
You must be at least 18 years of age to submit this form.
Terms and Conditions

Client and partners have read Gray Local Media, Inc.'s Standard Terms and Conditions at https://graymedia.com/about/terms-of-use/ and agree to those terms in full.
I Agree to the Terms and Conditions
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