Mac’s REWARD$

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External Customer ID
Customer Name*

First & Last Name (This is how our Crew will look you up to add your next order to your Reward$!)
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Customer Cateogry
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Address 1

Example: 1330 Larpenteur Ave W
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Address 2

Suite or Apartment #, If None… Leave Blank
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Address 3
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City
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State

Example: MN (only 2 letter abbreviations please!)
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Zip Code
Phone*

This is for reference ONLY! We won’t call or text you!
Email*

Required to Receive Special Discounts Only Available to Reward$ Members!
Do You Want to be Contacted About Special Discounts / Offers?
- Yes Please!
- No, I Don’t Want to be Contacted. (and I hate fun)
Birthday

MM slash DD slash YYYY
Anniversary

The First Day You Ate Mac’s!
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Loyalty Balance