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Please enter your information below to win during our May promotion and get future special offers.
First Name:
Last Name:
Street Address 1:
City:
State/Province:
Postal Code:
Country:
Day Phone:
Date of Birth (mm/dd/yyyy):
Email Address:
Interests:
This list is primarily for people withing driving distance to store.
Internet Customers
This is our registration form for winning our instore promotions.
* BOLD fields are REQUIRED.

Circle M Country
833 Lincoln Fair Plaza
Escanaba, MI 49829
(906) 789-9175 circlem@uplogon.com
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