Birthday / Anniversary Announcement

Tell us about the special person celebrating a birthday or the couple celebrating an anniversary and we will announce them on the Simply Pure Sweets Birthday Club. The list is announced each weekday morning around 8AM and one lucky person will win goodies from Simply Pure Sweets Bakery and Cafe (128 N. Church Street). Be sure to leave all of the required infromation below.

Notes
Enter notes here
First Name
Enter first name here
Last Name*
Enter last name here
Message*
Enter message here
Name of Birthday Person: - Required
Date of Birthday / Anniversary - Required
Zip Code*
Enter zip code here
Age:
Email*
Enter email here
Who is the wish from? - Required
Phone Number: - Required
We need the phone number of the birthday person or you can share your phone number. We need this in order to call if they're the winner chosen.
Street Address
Enter street address here
I'm not a robot
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