AFNICAssociation for Neurologically Impaired Children
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  Birthday Club Signup Form





Birthday Club Signup Form


Please join The AFNIC Birthday Club!
We will automatically e-mail a birthday card to anyone in the club on their birthday.


Birthday Club Information
*Indicates a REQUIRED value
*First name:
*Email address:
*Birthday:
MonthDay



   

Please sign up the whole family! It's OK to use the same email address too.









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Published on: 2002-12-17 (3991 reads)

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