Submit a Birthday
One winner each day gets a 12-inch personalized birthday cookie from the Great American Cookie Company, inside Florence Mall in Florence, AL. To enter, simply fill out the form below. We announce each day's winner at 7:15 AM on WBTG FM 106.3 & AM 1290, and other times throughout the day. The certificate for the birthday cookie will be mailed to the winner, so please provide your complete mailing address below.
Full Name *
Your answer
Birthday "Ex: 04/24" *
Your answer
Full Mailing Address *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy