Win a FREE dinner for 2 at Denica's

To thank you for being one of our valued customers and for your comments, you could win a dinner for two at Denica's Pastry Café and Taco Lounge, worth $25.00, drawn monthly. We will also be pleased to include your name on our special VIP customers list to inform you of any special events and offers at Denica's.

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Your date of birth:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    January February March April May June July August September October November December
Your spouse's date of birth:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    January February March April May June July August September October November December
Spouses Full Name:
Help us make your experience at Denica's even more enjoyable. Your comments are the best way for us to keep improving our service to you.
How did your hear about us?	Walked by From friends Internet Others
How often do you dine here?	First time Once a Week 2-5 times a week Once a Month
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