Birthday Club Application and Questionnaire:
(please use a separate form for each family member)

First name
Last name:
Address:
City:
State:
Zip code:
Age:Date of Birth:
Do you like birthday parties?:
Yes No
Have you ever had a group birthday party?:
Yes No
What is your favorite character or team?
Do you have any known allergies to anything like chocolate, perfume, wool, etc.?
Yes No
Please list any allergies that you may have:
What type of gift would you most enjoy? Please make at least 3 choices.
Health and Beauty AidsPerfumes,Oils, & ColognesCandlesClothing items (explain below)Car Care ProductsPet Care Products Sporting goodsBaby itemsHouse care ItemsSmall applianceBath cloths and towelsSmall Home DecorSmall hand toolsSmall electronicsTeddy BearSnack itemsSugar Free/Low Fat/Low Car SnacksCD/DVD(explain below)Books/Magazines(explain below)Small age-appropriate toysFine ChocolatesWine/SpiritsJewelryKeepsakes & FigurinesStationeryOther (explain below)
Additional Information and Comments:

Thank you, these answers will help the birthday club committee to be able to better plan for your birthday. We want to help make your birthday a memorable occasion each year. We still need people on the Birthday club committee, so please think about joining in on the fun. You may send in partial payments, but remember to send the rest at least 2-3 weeks before your birthday. We may send you an occasional reminder if you have not paid your dues in full.If you prefer to pay online, please email us and we will send you an invoice. Make payments payable to:
Fred Smith c/o Jones-Reeves Family Association
175 County Rd. 36
Eufaula, AL 36027

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