Gift Card Giveaway Sign-Up Form

First Name:

Last Name:

Email:

Cell Phone:

City:

State:

Zip Code:

Are you a Farmers Cooperative patron?:

Yes
No

Opt in for email marketing?:

Yes

Opt in for text messaging?:

Yes

Security code:

Enter to Win a $500 Gift Card

We are giving away one $500 Farmers Cooperative Fuel/C-Store gift card to one lucky recipient! Simply fill out the form above to be entered. All entries are due by April 30, 2021. Winner will be announced on May 7, 2021.

No purchase necessary. If you have any questions, please email marketing@farmersco-operative.com

Enter Here!