Registration Form

When you sign up for our e-newsletter, you could win a $100 Valley Mall Gift Card! No purchase is necessary. New subscribers only.

Random drawings will be held on March 1, May 3, August 2 and November 1.

* Required Fields
   
First Name:
   
Last Name:
   
Address:
   
City:
   
State:
   
Zip code:
   
Phone:
   
Email Address*:
   
Verify Email Address:
   
Age:
   
  You must be 13 years or older to register
   
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