Opting in for SMS / text message contact is done in-store at the front counter.
This is a scan of the actual paper form used to acquire express written consent to receiving text messages from Natural Food Store LLC for Account Service Messaging, Promotional Marketing Messages or both:


How form is actually presented to customer at the counter:

Text Version of opt in form:
SMS / Text Messaging Contact and Promotional Messaging Consent Form
This form documents a customer’s express written consent to receive text messages from Natural Food Store LLC
Customer Name: _____________ Customer Phone Number:_____________
1. Account and Service Messages (Non‑Marketing)
[ ] I agree to receive account and service SMS/text messages from Natural Food Store LLC (up to 100 messages per month; message and data rates may apply).
[ ] I do not want to receive account and service SMS/text messages.
These messages may include:
- Special order placement, confirmation, arrival, pickup, delay, status, or clarification.
- Requested item availability or follow‑up.
- Membership creation, status, renewal reminders, and expiration notices.
- Store credit creation or use, balance changes, gift card issuance, and gift card balance updates.
- Customers may reply STOP at any time to cancel these messages or HELP for help.
2. Promotional and Marketing Messages
[ ] I agree to receive marketing and promotional SMS/text messages from Natural Food Store LLC at the mobile number above (up to 7 messages per week; message and data rates may apply).
[ ] I do not want to receive marketing and promotional SMS/text messages.
These messages may include:
- Discounts, coupons, and sales.
- Raffles, giveaways, and prize notifications.
- Newsletters, announcements, and early‑access notifications.
- Seasonal, weekend, holiday, and special promotional events.
- Notifications about gifted, awarded, or won items where applicable.
- Customers may reply STOP at any time to cancel these messages or HELP for help.
3. Required Disclosures and Confirmations
By signing this form, the customer confirms that:
The mobile phone number provided belongs to the customer or the customer is authorized to provide it.
The customer is specifically requesting to receive the SMS/text message programs selected above.
Message frequency varies by program and customer activity, with limits of up to 100 account/service messages per month and up to 7 promotional messages per week.
Consent is not required to make a purchase.
Message and data rates may apply.
The customer may reply STOP at any time to cancel text messages from any subscribed program.
The customer may reply HELP for help or contact (860) 739‑9916 for assistance.
Opting in to account/service messages is separate from opting in to promotional/marketing messages
