V.I.P. CLUB
Join our V.I.P. Club and receive a free dinner on your birthday! Fill out this simple form and come in on the day of your birthday to receive your free dinner. Bring all your friends and make it a party! This will also qualify you to receive our monthly newsletter informing you of all the new and exciting things happening at Fat Jack's Saloon! Watch for the discount coupons in your monthly newsletter!
FULL NAME
ADDRESS
CITY
STATE
ZIP CODE
BIRTHDAY - DATE/MONTH
E-MAIL
