Wilco Family Rewards – Grand Opening

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Name*

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Email*

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Are you currently a Wilco Family Rewards Member or have you previously signed up?*

You will be entered to win whether you have an existing account or not*.
If you have signed up either online or in a Wilco store, please select “yes” to prevent a duplicate account from being created.

*Must be within 100 miles of Keizer, OR Store and able to pick up prize from Aloha Store once it opens.

Yes, I already have an account
No, I want to create a new account
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I would like to receive email offers from Wilco.

This will NOT affect your subscription if you are already subscribed.

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Mailing Address*

Mailing Address Suite / Box Number City State Zip

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Thank you for sharing in the excitement for the new Keizer Wilco Store opening. Please note that only legal residents of the state of Washington and Oregon, who live within 100 miles of Keizer will be entered to win. For more information, see the official rules.

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Phone Number (###) ###-####*

Your phone number is used to pull up your Wilco Rewards Account while shopping in-store.

*Must be within 100 miles of Keizer, OR Store and able to pick up prize from Aloha Store once it opens.

Please check your address.

Please check your address.

Please check your address.

Please check your phone number.