Thank you for your interest in our CHILeCLUB, your VIP membership to special offers and updates from Chile Verde Cafe. By answering the questions below, we can send you offers that are specifically tailored to your likes, dislikes and special days. If you would rather not answer submit all of the requested information, no problem, all we need for membership into the club is your name and email address. One you submit your information, check your email for a coupon for a free appetizer! Chile Verde Cafe is dedicated to respecting your privacy and will never sell your information.

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*FIRST NAME:
*LAST NAME:
*EMAIL ADDRESS:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE:	() -
BIRTHDAY (MONTH/DAY ONLY):	MM / DD
ANNIVERSARY:	MM / DD / YYYY
WHAT IS YOUR FAVORITE THING TO EAT AT CHILE VERDE?	BurritosQuesadillasSanta Fe exclusive dishesTacosOther
DOES YOUR PARTY NORMALLY INCLUDE CHILDREN?	YesNo
HOW OFTEN DO YOU EAT AT CHILE VERDE CAFE?	WeeklyMonthlyEvery few monthsOnce a yearNever

  4852 Sawmill Road  |  Phone: 614.442.6630  |  Fax: 614.442.7942  |  info@chileverdecafe.com  |  Hours/Directions