Sign up for Marie's Rewards Program with this form, fill it out completely then drop it off at the restaurant to pick up your VIP Rewards Club Card. When you visit and use your VIP card you earn 5% of your check. Every time your reward totals $10. you will receive a gift certificate in the mail. And at the restaurant check the menu for double point specials.
Don't forget to include your Birthday and Anniversary dates because on those dates
you get your dinner free.  The best just keeps getting better.

Last Name_______________________________

First Name_______________________________

Gender                 Male
                              Female

Address_____________________________________________________________

City_______________________________________ State______Zip___________

Home Phone_______________________________

E-Mail Address______________________________________________________

Birth Date   Month_______Day________

Anniv. Date Month_______Day________