the enrollment application

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Place Card Number
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Sign up and add more PERKS to your everyday savings at Horseheads Jubilee
New Card
First Name
Replacement Card
Change Information
Middle Initial
Last Name
Date of Birth
Street
Apartment
Town/City
Telephone Number
Email Address
State
Zip Code
Household Count
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Yes, I would like to receive emails, text messages, or mailings about Jubilee services and promotion that may be of interest to me.
Jubilee and Pro Logic value the privacy of Jubilee Perks program members. Information required for enrollment, as well as information about your purchases will be
used to provide you with information about services and or promotions that we fell will be of interest to you. Neither Jubilee nor Pro Logic will sell or rent any of your
personal information to a third party.
Place Card Number
Sticker Here
Sign up and add more PERKS to your everyday savings at Horseheads Jubilee
New Card
First Name
Replacement Card
Change Information
Middle Initial
Last Name
Date of Birth
Street
Apartment
Town/City
Telephone Number
Email Address
State
Zip Code
Household Count
-
Yes, I would like to receive emails, text messages, or mailings about Jubilee services and promotion that may be of interest to me.
Jubilee and Pro Logic value the privacy of Jubilee Perks program members. Information required for enrollment, as well as information about your purchases will be
used to provide you with information about services and or promotions that we fell will be of interest to you. Neither Jubilee nor Pro Logic will sell or rent any of your
personal information to a third party.
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