Fill the form below and we'll have your Hometown Kids Club Card waiting for you the next time you pay us a visit. First Name Last Name Age pull down 1 2 3 4 5 6 7 8 9 10 11 12 Favorite Food pull down pizza pizza pizza pizza pizza pizza pizza pizza pizza Store mom takes you to pull down Harry's Supermarket - 290 Wahconah Harry's Supermarket - 37 Elm St. Do you have any pets? yes no Birthday month January February March April May June July August September October November December day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Favorite Sport in my stuff!
	HARRY'S SUPERMARKET IGA  POLICY ON PRIVACY At Harry's Supermarket IGA we take the issue of privacy very seriously. Therefore, we do not participate in the act of selling, distributing, bartering or transferring personally identifiable information obtained from a user to a third party. The data we collect will be used explicitly in the processing of the Hometown Kids Club card.

Harry's Supermarket IGA on Elm Street (413) 443-7247 Harry's Supermarket IGA on Wahconah Street (413) 442-9084

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