JOIN THE
BIRTHDAY CLUB!


Please provide us with the following information.
An asterisk (*) indicates a required field.

If you have already joined, you may update your information
by entering the same name and email address.
 
E-mail address:
 *

First name:
 *

Last name:
 *

Street address:
  
  

City:
 

State:
 

Zip Code:
 

Telephone:

Cell Phone :

Birth Month and Day:

 
How did you hear about us?:
Magazine     Word of mouth    
Internet search     Televsion / Radio
News Paper     Other (Please specify)


The discounts and specials offered as part of the Faux Pas Birthday Club are only available on regularly priced merchandise purchased from our store at
5815 Kavanaugh Boulevard
Little Rock Arkansas, 72207.


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