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Clark's Plus Program Update Form
This form is for updating an existing Plus Program member.
New sign ups must be done at a Clark's store.
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* Indicates required question
I am filling out this update form because ......
*
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I've changed my mailing address
I have a new phone number
I need to change the name you have
I have to change my email address
I haven't been receiving emails
The cashier could not find my information
I need to correct my birthday on file
I want to Opt-out of the Plus Program
I want my information deleted from the Plus Program
Current phone number
*
To be sure we have the right information, this must be the phone number you entered when you signed up.
Your answer
New phone number
Your phone number will be changed to this one if it is available.
Your answer
Current name we have for you is
*
Your answer
Update my name to
Your answer
Current mailing address we have for you is
*
Your answer
Update my mailing address to
Your answer
Current email address
*
Your answer
Update my email address to
Your answer
If opting out or requesting to be removed, please share with us why.
Your answer
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