Josh and Anna are looking for couples to play “My Yummy Valentine.”

Tell us the name of your special song and why you and your valentine are the best husband and wife or engaged couple.  Josh & Anna will then pick two couples whose special songs will compete in the Retro Rumble on February 12th. The winning couple will receive a $100 Gourmet Foods Gift Card to use at berries.com. The runner up will receive a $50 Gift Card.  Also, be sure to stop by berries.com. Click on the microphone and enter “Cooper” for a special radio only offer!

Just fill out the form below and be sure to tell us why we should pick you and your valentine to play "My Yummy Valentine" on Tuesday, February 12th.

Full Name:
Your Valentine's Full Name:
Marital Status:	Married Engaged
City:
Day Phone:
Birth Date:	JanFebMarAprMayJunJulAugSepOctNovDec 01020304050607080910111213141516171819202122232425262728293031
E-Mail Address:
Name of your "Special Song":
Tell us why you and your partner are the best couple:
Comments: