Fill out the following form and your new players club card will be ready the next time you visit Tin Lizzie (please allow 24 hours). When you pick up your player's card you will receive 500 points, valued at $5.00 in cash back or a complimentary meal.

Full Name      * Required

E-mail Address      * Required

Mailing Address

City         State        Zip Code

Phone Number (xxx-xxx-xxxx)

Date of Birth      (xx/xx/xx)*Required