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La Fogata Birthday Gift For You

Free Lunch or Dinner on Your Birthday
There's NO reason not to register. This REALLY is a no hassle...FREE OFFER for our valued guests and website visitors.

Simply complete the Registration Form below and we'll e-mail your Complimentary Birthday Certificate to you Two Weeks prior to your Birthday.

 

[FrontPage Registration Component]

            First Name                      Last Name       
            
          Birthday - Month               Birth - Day             Birthday - Year   (Year of Birth is OPTIONAL)       I am over 18 years of age (Must be 18 to register)    

          E-mail Address 

         
 

OUR PRIVACY STATEMENT

We will not divulge your personal information to any one, for any reason.

The information you provide will be used only by La Fogata.