JOIN OUR BIRTHDAY CLUB
AND GET A FREE GIFT!
There is no charge.
All information is kept strictly confidential.
We respect your privacy.



IMPORTANT!
Before sending your form,
please be sure you have included information
in all the required fields:
Your Full Name
Your email address
Your phone number

Please provide the following information
so we can send you a FREE GIFT at the appropriate time.
Please press the "Submit Form" button to send us your info.
We will contact you with any questions.

Your Name (required)

Email (required)

Street Address

City

State

Zip

Tel No.(required)


DOG BIRTHDAY CLUB
MEMBER #1

I wish to enroll my DOG in your Dog Birthday Club

My Dog's Name is


My Dog is a (please check one):
Male Female

My Dog's Breed is

My Dog's Birthday is

My Dog's Home is in

TELL US ABOUT YOUR DOG:
(Favorite things; Funny behavior; Anything Interesting)


DOG BIRTHDAY CLUB
MEMBER #2

I wish to enroll another DOG in your Dog Birthday Club

2nd Dog's Name is


My Dog #2 is a (please check one):
Male Female

2nd Dog's Breed is

2nd Dog's Birthday is

2nd Dog's Home is in

TELL US ABOUT DOG #2:
(Favorite things; Funny behavior; Anything Interesting)

---

PEOPLE BIRTHDAY CLUB
MEMBER #1

I wish to enroll in your People Birthday Club.

(You are eligible for a FREE GIFT!)

My Name is

Male Female

My Birthday is

My shipping address is included above.

My shipping address is as follows:

TELL US ABOUT YOURSELF:
(Favorite things; Occupation; Interests)


PEOPLE BIRTHDAY CLUB
MEMBER #2

I wish to enroll another person in your People Birthday Club
(This can be a family member, a friend, or anyone you wish.)

Name

Male Female

Birthday

Address

Relationship to you

TELL US ABOUT MEMBER #2:
(Favorite things; Occupation; Interests)


IF YOU HAVE MORE DOGS YOU WISH TO
ENROLL IN OUR DOG BIRTHDAY CLUB,
PLEASE PROVIDE THAT INFO BELOW.
BE SURE TO INCLUDE
NAME, BIRTHDAY, BREED, ADDRESS AND
A SHORT STORY ABOUT EACH.


IF YOU HAVE MORE PEOPLE YOU WISH TO
ENROLL IN OUR PEOPLE BIRTHDAY CLUB,
PLEASE PROVIDE THAT INFO BELOW.
BE SURE TO INCLUDE
NAME, BIRTHDAY, ADDRESS, RELATIONSHIP
AND A SHORT STORY ABOUT EACH.



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