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| You must satisfy the listed Purchase Requirement detailed on the previous page of your Membership Fulfillment Website. To verify that you have satisfied the listed requirement, the Membership Number you list below will be checked to verify that the purchase was made. Your $50.00 Your Choice Gift Certificate and 1,000 Shopping Rewards Points will be mailed to the address provided below within 3 - 4 weeks. Limit one per membership number. Offer void where prohibited. Redemption instructions are listed on the Your Choice Gift Certificate. You will be able to accumulate and redeem the Shopping Rewards Points that are mailed to you. | ||||||||||
Name_________________________________ City______________________________________________ State______________ Zip_________ Email Address _____________________________ Phone no ( )__________________________ |
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Member Number _________________________________ Website Address of Your Member Fulfillment Website__________________________________________ |
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