Premier CityCard

Please complete the below form. Your card will be mailed in 7-10 business days.

* Required

First Name *

Last Name *

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse/Partner Phone Number

Phone Number *

Email Address *

Home Address *

City *

State *

Zipcode/Postcode *

Country * -- Select Country -- UNITED STATES

Username *

Password *

Confirm Password *

I agree to the terms of this card. * The CityCard is not transferable nor redeemable for cash. You agree to keep internet codes private. You agree not to allow an unauthorized user to use your CityCard. You must present your Premier CityCard at the start of the transaction. Discounts may not be combinable with other offers, except at the merchant’s discretion, and may not be applied to earlier purchases. Premier Baby Planning assumes no liability in connection with any goods or services purchased from CityCard program merchant participants. Program participants are subject to change without notice. Acceptance does not imply endorsement.

Payment Method * PayPal, Credit or Debit

Amount *

Enter Word Verification in box below *