Owner Info Update

Hey BriarPatch Owners! Update your contact info and win a $100 gift card!

We need current information so we can send you a Board of Directors voting ballot, status about the store during storms or power outages, AND fun promotions! Please send updated information by midnight on March 7th. Include your email address and you’ll be sent a link to enter a raffle for a $100 gift card!!!

Primary Owner Name(Required)

First Last

Owner Number(Required)

Current Mailing Address

Street Address Address Line 2 City State ZIP Code

Current Email

Cell Phone Number

Additional Household Members

Household Member #1 Name

Lives at Address Above?

Yes

Household Member #2 Name

Lives at Address Above?

Yes

Household Member #3 Name

Lives at Address Above?

Yes

Other Additional Household Members and/or comments

eReceipt Opt-In

Please send me electronic copies of my receipts.

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.