Title
Mr.
Mrs.
Ms.
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First Name
Last Name
Home Address
Phone #
Email (You may opt out at any time)
City
State
Zip
# People in Household
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Store Location on which your Offers/Coupons should be focused
Adams Center, NY
Alder Creek, NY
Barneveld, NY
Boonville, NY
Brewerton, NY
Bridgewater, NY
Canastota, NY
Carthage, NY
Central Square, NY
Chaumont, NY
Chestertown, NY
Chittenango, NY
Cicero, NY (South Bay)
Clay, NY
Clinton, NY (Kirkland)
Clinton, NY (Meadows St.)
Clinton, NY (Utica St.)
Constableville, NY
Constantia, NY
Croghan, NY
Dewitt, NY (Erie Blvd.)
East Syracuse, NY (Kirkville Rd.)
East Syracuse, NY (Taft Rd.)
Fayetteville, NY
Fort Plain, NY
Fulton, NY
Gansevoort, NY
Gouverneur, NY
Harrisville, NY
Herkimer, NY (E. State Street)
Herkimer, NY (Mohawk Street)
Illion, NY
Ithaca, NY
Lafayette, NY
Lake George, NY
Little Falls, NY
Manlius, NY
McConnellsville, NY
Montezuma, NY
New Hartford (Genesee Street), NY
New Hartford (Burrstone Road), NY
New York Mills, NY
North Creek, NY
Norwich, NY
Ogdensburg, NY (Champlain St)
Ogdensburg, NY (NY Ave)
Oneida, NY ("Verona")
Onondaga Hill, NY
Oriskany, NY
Pennellville, NY
Phoenix, NY
Poland, NY
Pottersville, NY
Pulaski, NY
Richland, NY
Rome, NY (Erie Blvd.)
Rome, NY (North James St)
Rome, NY (Turin Rd)
Sackets Harbor, NY
Sangerfield, NY
Saranac Lake, NY (Broadway St)
Saranac Lake, NY (Lake Flower)
Seneca Falls, NY (193 Fall Street)
Seneca Falls, NY (205 Fall Street)
Seneca Falls, NY (Rte 318 & 414)
Star Lake, NY
Taberg, NY
Taunton, NY
Tully, NY
Tupper Lake, NY
Utica, NY (Court Street)
Utica, NY (Culver Ave.)
Vernon, NY
Watertown, NY (Bradley St)
Watertown, NY (Factory St.)
Watertown, NY (LeRay St)
Watertown, NY (Outer Coffeen)
Watertown, NY (US Rte 11)
Watertown, NY (Rte 342)
Westmoreland, NY
Whitesboro, NY
Williamstown, NY
Your Ideas
What new products or services would you be interested in?
What do you like most about Nice N Easy Grocery Shoppes?
What can we improve on?
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