HI-LO FOOD STORES : SMART SHOPPER CARD

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fields with an asterisk (*) in front are required

FULL NAME
First Name *
Middle Name
Last Name *
Gender	Male Female
Date of Birth *
Home Address *

Phone No. *
Applicant's Occupation
Place of Work
Phone No.
Address (Work)

Email Address *
Spouse's Occupation
Place of Work
No. of People in Household
Preferred Payment Method
Name of Children (Date of Birth Optional)


Which store would you like to collect your Smart Shopper Card *
By submitting your registration information, you indicate that you agree to the Terms of Use

	Registration Form
	Letter to Customer
	How it Works
	Terms & Conditions
	Redemption

For questions or queries:

Call our Smart Shopper Customer line
c/o Marketing Dept.,
Hi-Lo Head Office
at 627-7482
E-mail: hilo@opus.co.tt or speak with your Store Manager.