🥳Birthday Club Form✨
Join my Birthday Club by filling up this form!

I really appreciate you and would like to celebrate with you on your birthday month!
So I created this club to send you some love and appreciate your existence.

✨💝🎉

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Email Address *
Your Name (First & Last Name) *
Address: (Street, City, State and Postal Code) *
The best phone number to reach you at: *
Birthday Details:
Birth Month *
Birth Date *
MM
/
DD
/
YYYY
Thank you for joining the Birthday Club!
Happy Birthday Love! 💗Jenna
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