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Update Your Personal Information

Please use the form below to inform us of changes to your Smart Diner Card or contact information


Current Information

Card Number:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Email:

Phone Number:

Date of Birth:

Updated Information

Card Number:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Email:

Phone Number:

Date of Birth: