"The Coupon People
"
Cigarette Coupon Registration
To receive coupons, please provide the following information.
Note: You must be 21 years old to receive coupons.
First Name
Last Name
Address 1
Apt. Floor, Lot, etc.
City
State
Zip
Phone
Email Address
Date of Birth
Month
Day
Year
Cigarette Information
Usual Cigarette Brand
2nd Choice Brand
Cigarette Type
Full Flavor
Lights
Ultra Lights
Mild/Medium
Flavor
Regular Non-menthol
Menthol
Length
Regular/King
Long/100s
Average price you pay per carton?
Under $15.00
$15 - $20
$20 - $25
$25 - $30
$30 - $35
$35 - $40
Over $40
I certify that I am a smoker over 21 years old and wish to receive cigarette coupons/premiums or other discount cigarette offers.
Yes I do.
No I do not.
Please only register once, multiple registrations will be deleted and will delay your coupons.