Pacman

Tetris

Frogger

Asteroids

Space Invaders

Pong

Simon

Moon Patrol

Starcastle

Donkey Kong
 
* Date of Birthday/Anniversary  
* FULL NAME of Birthday/Anniversary Person(s)  
* Birthday/Anniversary Wishes  
* Your Name  
* Daytime Phone Number of Birthday/Anniversary Person(s)  
 Courtenay
 Campbell River
* Which Thrifty's do you use?
  Questions marked with * are required