Email Address (example: Peg@TheBackyardCafeVIPclub.com)
First Name
Last Name
Last NameBirthday
Month
Day
Zip Code
Please provide the following information to receive... Discounts, Coupons,
News & Promotions...All By E-mail!
Your information will be kept confidential and will not be sold or given to any third party.
By completing and submitting this page, you are representing that you are older than 12 years of age.
Do not submit if you are under 13 years of age.
Family Members Names and Birthdates
Please note: You can only sign up four family members (including you) under one email account. If you have more to sign up you will need to use another email account. Thank You!
