Request a Birthday Card
Request for a birthday card are only accepted for New Hampshire residents. Please provide the following information regarding your request.
All Required Fields * must be completed
Requestor of the Greeting
First Name
Last Name
Address
City / State / Zip
City
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
DC
FM
GU
MH
MP
PW
PR
VI
Zip
County
--None--
Belknap
Carroll
Cheshire
Coos
Grafton
Hillsborough
Merrimack
Rockingham
Strafford
Sullivan
Out of State
Email Address
Phone/Extension
-
Alternate Phone/Extension
-
Recipient of a Birthday Card
Recipient Birthday
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Which birthday will recipient be celebrating
--None--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
Recipient First Name
Recipient Last Name
Recipient Preferred Name
Recipient Mailing Address
Recipient Mailing City / State / Zip
City
State
Zip
Recipient Mailing County
--None--
Belknap
Carroll
Cheshire
Coos
Grafton
Hillsborough
Merrimack
Rockingham
Strafford
Sullivan
Comment
Cancel
