Once you sign up, you will receive an email with a Certificate for...
$5.00 OFF your next visit!

* an asterisk denotes a required field
First Name * Last Name
Email Address *
Confirm Email Address *
Phone Number or Numbers *
Can be used in place of a physical card
at the time of purchase.
() -
Birthday Wedding Anniversary
/ /

Spouse's First Name
Spouse's Email Address
Confirm Spouse's Email Address
Spouse's Birthday
/

Office Use Only
Referral Code (Office Use Only)
We are firmly committed to your privacy and the protection of your information. We will NEVER share, sell or rent individual personal information with anyone without your advance permission.
The emails you receive from us will include regular email communication notifying you of special offers, events, point balances, and promotions, sent to you on behalf of Ol' Mexico from Empower Marketing (@myrewardsprogram.net).
Privacy Policy

Once submitted, your Phone Number serves as your card number.
***No card necessary***