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activate your card below

Please provide the following information:

Your information will be kept private and will not be shared, rented, loaned or sold to any third party.
Where did you get your card?

 

Enter your PIN #:

(on the back of the card)

   your PIN # will be your username

Enter your Card #:

(on the back of the card)

               

First Name:  
Last Name:  
Address:
  
City:
 

County / Parish:

  
State:
 
Zip:
  
Telephone   
Email:  
Choose your password:  
Re-enter your password:  
   

The following is optional but will help us serve you better and find great new specials for you:

this information is confidential and will not be loaned, rented or sold to any outside party.

please check appropriate boxes:

male            female

marital status:

 single           married        other

age:

 under 18      19 to 29       30 - 49       50 & up

education:

 No degree   HS degree   Some College College degree

employment status:

 employed     unemployed

income range:

 less than $20,000     $20,000 - $50,000   over $50,000 
   
Comments and inquiries:
 

write SATURDAY in the block

 to the right. (ALL CAPS)

   to help us avoid spam

Click Submit below to activate your card.

 

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