Step 1 of 3
  • Your username and password are case-specific, so be sure to note this when creating them.
  • Your birthdate is used in case you forget your password; please make sure you enter it accurately in case you need to retreive your password later.
  • There is a one-time fee of $24.95 to enroll in the Birmingham Weekly Card (this fee covers the card and processing).
  • View Terms & Conditions
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone: xxx-xxx-xxxx
Email:
Birth Date:
Username:
Password:
Confirm Password:
Person Who Referred You:
 
  I have read and agreed to the Terms and Conditions. View Terms & Conditions
 
   
  If you have any problems contact Mark Barrett (205) 223-6303