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$1000 PROMO Signup Form
If you already have an account on our website, please
log in
to continue
*
Membership Type
Restaurant & Grocery Program - $1000
$1,000.00 for one year
Includes $1000 in Free Restaurant & Grocery Coupons... and MORE!!!
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First & Last Name
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Street
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City
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State Abbreviation (2 characters)
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ZIP Code
Phone Number
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Your E-Mail Address
a confirmation email will be sent to you at this address
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Choose a Username
it must be 6 or more characters in length
may only contain letters, numbers, and underscores
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Choose a Password
must be 6 or more characters
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Confirm Your Password
Authorization Code
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Card Number / Redemption Code
Enter your redemption code (9 digits)
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Pin Number
Enter your 4 digit PIN
If you have a 2 or 3 digit PIN, please add zeroes to the front.
i.e. (pin 367 would be entered as 0367)
Enter coupon code
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aMember Pro™ membership software
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