Serving Lobster, Seafood and Other Specialties Since 1940

Preferred Customer Card Application

Name __________________________________________

Address ________________________________________

_______________________________________________

City ___________________________________

State ____ Country ______ Zip Code _________

Phone Number ___________________________

Month/Day of Your Birthday __________________________
(for birthday benefit)

Check for $10.00 enclosed ___

or

Charge my credit card ___
MasterCard ___ Visa ___ Amex ___

Name on card ______________________________
Account number ____________________________
Expiration date _____________________________

Signature _________________________________

Please print this application, and mail or fax it to:

Warren’s Lobster House
11 Water St./U.S. Route 1
Kittery, ME 03904
Fax: (207) 439-8821

Allow 3-4 weeks for delivery. If you dine at Warren’s before your card arrives, just mention it to your server.