Birthday Club

Join our Birthday Club and you will receive a coupon good for
one free entree, good any day during the month of your birthday.

Your Name:
Birth Date:
(Day & Month Only - Example May 12)
Email:
Address, City, State, Zip:
Existing Birthday Club
Member with new address?:		 Yes, this is a new address
for an exisiting Birthday Club Member
Bistro Thai Takeout Menu Designed by Lay Designs