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How Did You Hear About Us?
(enter any promotional code here) |
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First Name |
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Last Name |
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Address |
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City |
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State |
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Zip |
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E-mail Address |
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Telephone |
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Each account comes with one Kosher
Advantage card. Additional cards, for immediate
family members, are available for
$1.99 per month per card. |
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Primary Cards ($4.95 / month) |
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Additional Cards ($1.99/ month) |
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| Credit Card Type |
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Credit Card Number |
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Expiration |
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| CV
Code |
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Enter your birthday for free gifts on
your birthday from our new partner, HULEDET! |
| Birth Month |
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| Birth Day |
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THIS
BOX MUST BE CHECKED TO COMPLETE YOUR PURCHASE.
By checking this box, I understand that my credit card
will be charged $4.95 per
month for my first card and $1.99 per month for any
additional cards I have. I understand that billing is
automated to my credit card on the 1st of every month,
after any promotional time expires, and that to cancel, I need
to mail my card(s) back to Kosher Advantage, Inc. prior to the 1st of the month. |
