Rooftop Rewards

<script type="text/javascript" src="http://repeatreturns.com/client-resources/online-enrollment-form.js"></script><!-- [et_pb_line_break_holder] --><form id="enrollment_form" method="GET" action="https://posapirest.loyaltypath.com/api.aspx"><!-- [et_pb_line_break_holder] --><style type="text/css"><!-- [et_pb_line_break_holder] -->#enrollment_form {<!-- [et_pb_line_break_holder] --> display:inline-block;<!-- [et_pb_line_break_holder] --> width:100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#enrollment_form label {<!-- [et_pb_line_break_holder] --> display:block;<!-- [et_pb_line_break_holder] --> font-weight:bold;<!-- [et_pb_line_break_holder] -->text-transform:uppercase;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><input type="hidden" name="namePrefix"><!-- [et_pb_line_break_holder] --><label for="first_name">First Name</label><input type="text" id="first_name" name="firstName"><!-- [et_pb_line_break_holder] --><label for="last_name">Last Name</label><input type="text" id="last_name" name="lastName"><!-- [et_pb_line_break_holder] --><label for="email_address">Email</label><input type="email" id="email_address" name="emailAddress"><!-- [et_pb_line_break_holder] --><label for="phone_number_1">Phone</label><input type="tel" id="phone_number_1" name="phoneNumber1" maxlength="10"><!-- [et_pb_line_break_holder] --><span id="phone_number_2_span" class="phone_number" style="display:none;"><label for="phone_number_2">Phone #2</label><input type="tel" id="phone_number_2" name="phoneNumber2" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_3_span" class="phone_number" style="display:none;"><label for="phone_number_3">Phone #3</label><input type="tel" id="phone_number_3" name="phoneNumber3" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_4_span" class="phone_number" style="display:none;"><label for="phone_number_4">Phone #4</label><input type="tel" id="phone_number_4" name="phoneNumber4" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_5_span" class="phone_number" style="display:none;"><label for="phone_number_5">Phone #5</label><input type="tel" id="phone_number_5" name="phoneNumber5" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_6_span" class="phone_number" style="display:none;"><label for="phone_number_6">Phone #6</label><input type="tel" id="phone_number_6" name="phoneNumber6" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_7_span" class="phone_number" style="display:none;"><label for="phone_number_7">Phone #7</label><input type="tel" id="phone_number_7" name="phoneNumber7" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_8_span" class="phone_number" style="display:none;"><label for="phone_number_8">Phone #8</label><input type="tel" id="phone_number_8" name="phoneNumber8" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_9_span" class="phone_number" style="display:none;"><label for="phone_number_9">Phone #9</label><input type="tel" id="phone_number_9" name="phoneNumber9" maxlength="10"></span><!-- [et_pb_line_break_holder] --><span id="phone_number_10_span" class="phone_number" style="display:none;"><label for="phone_number_10">Phone #10</label><input type="tel" id="phone_number_10" name="phoneNumber10" maxlength="10"></span><!-- [et_pb_line_break_holder] --><label for="birthday_month">Birthday</label><select id="birthday_month"><option value="01">Jan</option><option value="02">Feb</option><option value="03">Mar</option><option value="04">Apr</option><option value="05">May</option><option value="06">Jun</option><option value="07">Jul</option><option value="08">Aug</option><option value="09">Sep</option><option value="10">Oct</option><option value="11">Nov</option><option value="12">Dec</option></select>/<select id="birthday_day"><option value="01">1st</option><option value="02">2nd</option><option value="03">3rd</option><option value="04">4th</option><option value="05">5th</option><option value="06">6th</option><option value="07">7th</option><option value="08">8th</option><option value="09">9th</option><option value="10">10th</option><option value="11">11th</option><option value="12">12th</option><option value="13">13th</option><option value="14">14th</option><option value="15">15th</option><option value="16">16th</option><option value="17">17th</option><option value="18">18th</option><option value="19">19th</option><option value="20">20th</option><option value="21">21st</option><option value="22">22nd</option><option value="23">23rd</option><option value="24">24th</option><option value="25">25th</option><option value="26">26th</option><option value="27">27th</option><option value="28">28th</option><option value="29">29th</option><option value="30">30th</option><option value="31">31st</option></select><input type="hidden" name="birthday" id="birthday"><!-- [et_pb_line_break_holder] --><input type="hidden" name="referralCode"><!-- [et_pb_line_break_holder] --><input type="hidden" name="streetAddressLine1"><!-- [et_pb_line_break_holder] --><input type="hidden" name="streetAddressLine2"><!-- [et_pb_line_break_holder] --><input type="hidden" name="city"><!-- [et_pb_line_break_holder] --><input type="hidden" name="state"><!-- [et_pb_line_break_holder] --><input type="hidden" name="zip"><!-- [et_pb_line_break_holder] --><input type="hidden" name="country"><!-- [et_pb_line_break_holder] --><input type="hidden" name="weddingAnniversary"><!-- [et_pb_line_break_holder] --><input type="hidden" name="numInHousehold"><!-- [et_pb_line_break_holder] --><input type="hidden" name="spouseFirstName"><!-- [et_pb_line_break_holder] --><input type="hidden" name="spouseLastName"><!-- [et_pb_line_break_holder] --><input type="hidden" name="spouseEmailAddress"><!-- [et_pb_line_break_holder] --><input type="hidden" name="spouseBirthday"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName1"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday1"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName2"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday2"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName3"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday3"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName4"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday4"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName5"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday5"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName6"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday6"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName7"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday7"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName8"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday8"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName9"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday9"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childFirstName10"><!-- [et_pb_line_break_holder] --><input type="hidden" name="childBirthday10"><!-- [et_pb_line_break_holder] --><input type="hidden" name="storeVariableField1"><!-- [et_pb_line_break_holder] --><input type="hidden" name="storeVariableField2"><!-- [et_pb_line_break_holder] --><input type="hidden" name="storeVariableField3"><!-- [et_pb_line_break_holder] --><input type="hidden" name="storeVariableField4"><!-- [et_pb_line_break_holder] --><input type="hidden" name="storeVariableField5"><!-- [et_pb_line_break_holder] --><input type="hidden" name="chainVariableField1"><!-- [et_pb_line_break_holder] --><input type="hidden" name="chainVariableField2"><!-- [et_pb_line_break_holder] --><input type="hidden" name="chainVariableField3"><!-- [et_pb_line_break_holder] --><input type="hidden" name="chainVariableField4"><!-- [et_pb_line_break_holder] --><input type="hidden" name="chainVariableField5"><!-- [et_pb_line_break_holder] --><input type="hidden" name="bilingualOption"><!-- [et_pb_line_break_holder] --><input type="hidden" name="username" value="nopass"><!-- [et_pb_line_break_holder] --><input type="hidden" name="password" value="T0wbmD0fyT4="><!-- [et_pb_line_break_holder] --><input type="hidden" name="storeId" value="40230"><!-- [et_pb_line_break_holder] --><input type="hidden" name="method" value="EnrollNewCardmemberV2"><!-- [et_pb_line_break_holder] --><input type="hidden" name="redirectPage" value="1912.flywheelsites.com/rooftop/thank-you"><!-- [et_pb_line_break_holder] --><div id="enrollment_button"><button type="submit" class="et_pb_button" style="font-family:'Futura', sans-serif!important; margin-top:20px;">Enroll Now</button></div></form>