preferred guest program

sign up bonus
When you sign up, you receive a complimentary $10. gift credit for use on a subsequent visit just for completing the form. May not be used with other coupons or promotions. Sign up a friend or colleague and receive a complimentary $10. Gift credit for use on a subsequent visit. The reference must be a non-immediate family.

sign up a friend or colleague
Receive a complimentary $10. gift credit for use on a subsequent visit. The reference must be a non-immediate family member. May not be used with other coupons or promotions.

preferred guest rewards
May not be used with other coupons or promotions. Preferred guest rewards
each time you dine, simply give us your preferred guest card or the number found at the top left of the back of the card. Each time your food and beverage total hits $300 we will immediately credit your preferred guest card $25 for use on a subsequent visit. Complimentary discounts can only be used towards food purchases. You will not receive points on tax and tip. You must also be the one to pay in order to receive the credit. May not be used with other coupons

birthday benefit
We will treat the birthday person to a free entree. simply provide us with your preferred guest card. this gift is valid 14 days prior and 14 days following your actual date of birth. we will credit your entree $17 off the check. should your entree be less than 17, we will credit full entree amount. no cash value. may not be used with other coupons or promotions.

To receive your new Preferred Guest Card, simply fill out this form and we will send it to you

* home telephone number	* email
* first name	* last name
* street address
apt. number or PO box
* city  * state  -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Massachusetts Maryland Michigan Minnesota Mississippi Missouri Montana Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * zip code
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spouse's name	-- 1 2 3 4 5 6 7 8 9 10 11 12 -- 1 2 3 4 5 6 7 8 9 0 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 spouse's dob mm/dd/yy
child's name	-- 1 2 3 4 5 6 7 8 9 10 11 12 -- 1 2 3 4 5 6 7 8 9 0 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 child's dob mm/dd/yy
child's name	-- 1 2 3 4 5 6 7 8 9 10 11 12 -- 1 2 3 4 5 6 7 8 9 0 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 child's dob mm/dd/yy
child's name	-- 1 2 3 4 5 6 7 8 9 10 11 12 -- 1 2 3 4 5 6 7 8 9 0 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 child's dob mm/dd/yy
I would like to receive periodic updates about Basil's lunch specials. *   I have read and understand the terms of this program.