Interactive pdf

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Emma Bean C afé VIP Member Registration Form Fill out the form below to join our VIP club and receive our latest promotions and coupons. Email Phone Number Favourite Coffee How often do you visit us? Address Last Name First Name Province Comments: Enter our contest to win free coffee for a month? Yes No Contact Information: Submit Clear Form www.emmabeancafe.com

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Page 1: Interactive pdf

Emma Bean C aféVIP Member Registration Form

Fill out the form below to join our VIP club and receive our latest promotions and coupons.

Email Phone Number

Favourite Co�ee

How often do you visit us?

Address

Last Name

First Name

Province

Comments:

Enter our contest to win free co�ee for a month? Yes No

Contact Information:

SubmitClear Form

www.emmabeancafe.com