LOYALTY SIGNUP FORM

(NEW CARDS ONLY!)

You can sign up for the program on your next visit to any HRG location. Or, fill out the form and we will mail your loyalty card out within 5 business days.

If you're already a loyalty member, click here to log in.

For more information, contact us.

First Name: *

Last Name: *

Mailing Address: *

City / State / Zip: *

/ /

Email: *

Phone: *

Birthday:

Anniversary:

Your Favorite Wood-n-Tap location:

HartfordFarmingtonSouthingtonRocky HillVernonOrangeWallingfordHamdenNewington

By clicking here, you verify that you are at least 18 years of age. * I am 18 or older.

 

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