Print out this form and bring it with you when
you pick up your next order
to enroll.
Name:
Birth Date (mm/dd):
Company Name (if applicable):
Home Address:
City, State, Zip:
Daytime Phone #:
Email Address:
We will never give or sell any of this information to anybody.
Frequent Diner Points are not valid in conjunction with other
offers discounts or promotions. Frequent Diner Points are for
individual customers only, not business entities and are not eligible
for private parties, delivery orders or catering orders. Only the
person paying the bill may be credited with points for any
purchases. Taxes, gratuities and alcoholic beverages are not
eligible for points. Rubino's Pizza reserves the right to add or
make changes in the rules or rewards, or terminate the program
at any time without advance notice.