KAVU Submit your Birthday Photo

Have a birthday or Anniversary wish you want to send us?

1. Email *This question is required. This question requires a valid email address.

2. Date of Birthday/Anniversary *This question is required. This question requires a valid date format of MM/DD/YYYY.

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3. Name of Submitter *This question is required.

4. Name of Person who you want to wish a Happy Birthday/Anniversary *This question is required.

5. Birthday Wish *This question is required.

6. Daytime Phone number: *This question is required.

7. Upload your photo *This question is required.

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By uploading a photo, I certify that I own the photo or have the right to permit KAVU, KVCT and Crossroadstoday.com to use and publish this photograph, and that I understand that all photographs submitted to KAVU, KVCT and Crossroadstoday.com may be published, used or distributed in print, electronic or other media. KAVU and KVCT reserves the right to reject any photograph.