Birthday Sign Up
 

 
It's your birthday! Or, at least it's the birthday of someone you care about. Fill out this simple form to be entered into the daily birthday drawing, every morning at 7:50 with Rick and The Redneck, for a $20 gift certificate to Shoney's.
 
* Who Are You?  
* Who is Having a Birthday?  
* How Old Are They?  
* Birthday Persons Phone Number  
* Birthday Persons Address  
* Date of Birthday?  
  Questions marked with * are required