&

 E-Mail Club.  .  .  .

Thank you for your interest in Smitty’s Newsletter and Birthday Club! Please complete the form below and you will receive specials, movie updates, and other exciting Smitty’s information. You will also receive a special savings sent through e-mail in the month of your birthday.  Put all your family’s birthdays in the form so they will receive the special savings as well. 

 

The Birthday emails are sent out all towards the end of the month before your birthday month so please sign up in time to receive yours.

 

Please be sure to use this format to enter your birth date:  1967-Aug-09   in order to receive your coupon, the computer will not recognize any other format.

                           (XXXX-XXX-XX)

Fill out your e-mail address to receive our newsletter!
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
E-mail address:
# of Family Members:
Subscribers Date of Birth:
D.O.B.1 YYYY-MMM-DD (1967-Aug-08):
D.O.B.2 YYYY-MMM-DD (1967-Aug-08):
D.O.B.3 YYYY-MMM-DD (1967-Aug-08):
D.O.B.4 YYYY-MMM-DD (1967-Aug-08):
D.O.B.5 YYYY-MMM-DD (1967-Aug-08):
D.O.B.6 YYYY-MMM-DD (1967-Aug-08):

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