Landis GO! card - Printable Enrollment Form

For your FREE Landis GO! card, complete this form and bring to your local Landis.

Name

Address
City
State
Zip
Email
Phone #
( ) - -
Birthday
(optional - MM/DD)
Signature
Date
*please sign after printing
Check here if you do not wish to receive special offers and promotions from Landis Supermarket

I have read and agree to the Terms and Conditions/ Privacy Policy