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 A Dash of Panache, Celebrating Friendship with Style and Pizzazz
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Would you like to receive our newsletter that discusses upcoming events and Panache coupons and specials? It's FREE and we promise not to bombard you and not to share your information with anyone else (we hate junk mail too).

If you will also please give us your e-mail address, we promise ("cross our heart") to use it sparingly and not share it with anyone else. E-mail is how we will usually communicate with you (paper mail is very expensive).

Yes, please add me to your private Mailing List!
Items with a red asterisk (*) are required.

* Name (First and Last):
 Street Address:
* City:
* State:
* Zip:
Home Phone:  
If you do not include an area code, we will assume it's 916.		 <<< Very Helpful! We won't share it.
Other Phone:
If you do not include an area code, we will assume it's 916.
E-mail address: <<< Highly Recommended! We won't share your e-mail or send you junk mail! This is our primary way of communication (we rarely send paper mail).

* IMPORTANT! Type the letters 4SAFE into this field (all capital letters): It prevents SPAM programs from auto-filling out this form:

If you have daughters (not grown up yet) for which you would like us to send a coupon or gift certificate about a month ahead of their birthdays, please list their names and birthdays (including year--helps us track age) below and we will add them to our private birthday mailing list. We assume they have the same address as above (Otherwise use the Comments section below). If you don't specify a last name, we will assume it's the same as yours.

Name:  Date of Birth: mm/dd/yy
Name:  Date of Birth: mm/dd/yy
Name:  Date of Birth: mm/dd/yy
Name:  Date of Birth: mm/dd/yy
Name:  Date of Birth: mm/dd/yy

Comments and Questions:

    

IMPORTANT! Press Send ONLY ONCE! Sometimes it takes a few seconds for this form to send its data and if you press Send again, it will send duplicates.
 


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Hours of Operation
A Dash of Panache is located at 217 Vernon Street, Roseville, CA 95678. Phone: (916) 788-4FUN (788-4386)This business is owned and operated by a Christian family.
Copyright © 2003-2008 A Dash of Panache, All rights Reserved
(This website has been designed and developed by Advanced Programming Concepts)