Server: Microsoft-IIS/3.0 Date: Mon, 29 Dec 1997 10:52:21 GMT Content-Type: text/html Accept-Ranges: bytes Last-Modified: Mon, 22 Dec 1997 12:29:54 GMT Content-Length: 14940 Wild Shopper Card Application

Wild Oats Markets Boulder Wild Oats
and Alfalfa's shoppers -
and now Lakewood Alfalfa's shoppers:

Apply here for your free
WILD SHOPPER CARD
Alfalfa's Markets
Receive product discounts,
rewards for regular shopping,
free educational materials, and automatic sweepstakes entries.
Wild Shopper Card Click the
Wild Shopper Card
to learn more about the program.

Coming to Denver in 1998!


New Application Address Change Replace Card Profile Change

Choose your "home" store:
Wild Oats (Boulder) Alfalfa's (Boulder) Alfalfa's (Lakewood)



Apply only if you shop at Boulder Wild Oats or Alfalfa's or Lakewood Alfalfa's

Name

Address

City

State

Zip

Phone #

Email address

Birth date

Day   Month   Year

Gender

Male   Female

Please indicate areas of personal interest (check all that apply)
Organic foods
Natural groceries
Vitamins
Homeopathic remedies
Immunity
Children's products
Eco-cleaners
Natural bodycare
Bulk foods
Herbal products
Alternative therapies
Food allergies
Books
Pet products

What describes your diet? (check all that apply)
Standard (no restrictions)
Vegan (no meats, dairy or seafood)
Vegetarian (no meats)
Dairy-Free
Low-Fat
Low-Sodium
Wheat/Gluten-Free
Diabetic

How many people reside in your household?
1
2
3
4
5
6
7+

If you have children, please indicate their ages:
Child 1
Child 2
Child 3
Child 4
Child 5

Lifestyle interests (check all that apply):
Gourmet cooking
Ethnic cooking
Sports
Fitness
Weight management
Spirituality
Education
Holistic healing
Environment
Political action
Community service
Investing


I understand that the information I provide may be used by Wild Oats for marketing and reward purposes and would like to receive information/education on specials or discounts relating to my interests stated above.
-OR-

I prefer to receive special offers, rewards and/or educational material by electronic mail (email) only.
I prefer not to receive any special offers, rewards and/or educational material.

Thanks for becoming a Wild Shopper!


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