Kick Back Rewards Sign Up

Do you have a new points card you need to register?
Please fill out the form below to complete your registration.
If you don’t have a card yet, stop by any of our locations to pick one up!

Card Registration

6 digit code on the back of your loyalty card

Name

Address

Mobile Phone & Email

Please do not include dashes, spaces, or parentheses.

Card Pin

By submitting this form you agree to the term and conditions at Kickback Systems

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