Gnome Games Email Data Entry Form
For recording Gnome Games Customer information.  Please take your time and spell everything and capitalize it properly on this form - because whatever you type is what gets used for mailing labels and other communication to the customer!
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Customer First Name *
Customer Last Name *
Customer Email
Customer Birth Month *
Street Address
City
State
Zip Code
Store? *
What store did this customer fill out the reward card at?
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