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eCARD Discount Club Member Registration

Please fill out this form and we will contact you when the eCARD Discount Club cards are available. This program will allow you to save on most everything you purchase online and offline at thousands of retailers. If you would like multiple cards for business associates, friends or family, please fill out the form for each person. For a limited time, eCARD Discount Club cards are FREE to anyone who requests them.

Name:
Company:
Title/Position:
Phone Number:
E-Mail Address:
Mailing Address:
City:
State:
Zip Code:
Fax Number:

Would you like to receive regular e-mail from us about our services?

Would you like to receive our weekly Savings Newsletter?

Do you travel out of your state more than once per month ?

Which Items are you interested in using your eCard to save money (check all that apply)?
Food/Dining Out Electronics/Computers
Entertainment (Movies, Concerts) Personal Services (hair cuts, beauty supplies)
Destinations (Theme Parks, etc.) Transportation (Gas, insurance, car rentals)
Clothing Consumer Media (DVDs, CDs, etc.)
Office Supplies Automotive Electronics
Home/Building Supplies Automotive Repairs/Parts
Hobbies/Projects Boutiques/Specialty Stores
Sports Equipment Other

Notes? Questions? Feel free to ask here:

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TOLL-FREE: 800-609-3957 | DIRECT: 407-591-0050 | FAX: 407-650-2711