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Register for our contest by filling out the form below. Registration is required for voting.
General Information
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Address Line 1
:
Birthday
:
---Select One---
January
February
March
April
May
June
July
August
September
October
November
December
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2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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1928
1927
1926
1925
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1923
1922
1921
1920
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1918
1917
1916
1915
1914
If you enter your birthday, we may pick you for Fan of the Day that day and Mark and Loren will wish you a Happy Birthday on-air!
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City
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State
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--- Select One ---
Alabama
Alaska
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Arkansas
California
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Connecticut
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District Of Columbia
Florida
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Idaho
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Louisiana
Maine
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Michigan
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Ohio
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Washington
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Newfoundland and Labrador
Northwest Territories
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Ontario
Prince Edward Island
Quebec
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Yukon
American Samoa
Guam
Marshall Islands
Northern Marina Islands
Palau
Puerto Rico
Virgin Islands
Armed Forces Africa
Armed Forces Americas (Except Canada)
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
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Postal Code
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Phone Number
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Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
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