ONAM Restaurant

Birthday Club

Date:

Male: Female:

*My name is:

Father Full Name:

*First :

*Last :

*My age is

Years.

My Birthday is on: *Date:

*Month:

*Buzz me to wish at Mobile:

+91

E-mail me at:

*Send my Birthday card at this address:

C/O

*Near/Opp:

*City/Vil.:

*P.O.

*Tehsil

*Distt.

Birthday Club