MembershipApplication

VIP CLUB

	HOME

SORRY WE ARE NOT ACCEPTING APPLICATIONS

AT THE MOMENT

Application for Sal Anthony's V.I.P. Club

To become a member of Sal Anthony’s VIP Club, fill out the application below. Your membership card will be mailed to you within two weeks.

Please enter your complete address. If it is a company address, be sure to give the company name in the box indicated below. We need your correct address to send you your membership card and (later) your birthday certificate. (See benefits.)
Please enter your email address below. You will receive regular emails announcing weekly winners of Sal Anthony’s ‘meal on the house’ and weekly specials, as well as benefit announcements.
If you move or change your email address, please remember to update your information on the VIP website.

Please fill out this form to receive your Benefits Package and special discount.

This information will not be shared with any other company or individual.

Today's Date

Please Select Other

          Month   / day   /   year

     First Name: MI

Last Name: .

Street Address: Apt#

               City State Zip Code

Is this a Company Address YesNo

Only if Yes Please give us Company name:

E-mail address (great way to learn about our weekly winners and special discounts)

   Type your E-mail:

Retype your E-mail:

                               Home Number: Fax Number: .

For Your Complimentary Birthday Meal we need Your Birthday

Month Day

                                Do You Eat at

Referred by:

Recipe of the Month

Hit Counter