Heritage Mall Email Registration

• VIP Club • Kids Club • Club Fit


Email Registration

Thank you for your interest in joining the VIP Club. Once you register, you will begin receiving advanced notice of sales, events and new store openings. In addition, you will recieve exclusive offers and free gifts that will only be available to VIP Club members. We will not sell your email, and you will be able to unsubscribe at any time.

First Name
Last Name
Phone
Address
City
State
Zip
Is this your home or office address?
	Home Office

E-Mail	HTML If you want to receive text only emails, uncheck the HTML box above.

Birth Date	Month Day
Gender	M F

Please list store names you would like to see at Heritage Mall?
What Food Court restaurant(s) would you like to see at Heritage Mall?
Are you interested in Free Gift With Purchase Incentives? Yes No If yes, what would you like to receive as a free gift?
Are there other services or offerings you would like to see at Heritage Mall?
Other comments:

Disclaimer: Heritage Mall is committed to protecting your privacy. Any information we collect is strictly confidential and is intended for use only by Heritage Mall. We will not sell your personal information. You have the opportunity to unsubscribe at any time.

1895 14th Avenue SE • Albany, OR 97322 • 541-967-8238