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| Satisfying the listed Purchase Requirement detailed on the previous page of your Membership Fulfillment Website is necessary. To verify you have satisfied the listed requirement, the Membership Number you list below will be checked to verify the purchase was made. Shopping Rewards Points will be mailed to the address provided below with 1-2 weeks. Limit one per membership number. Offer void where prohibited. Redemption instructions are printed on the Your Choice Gift Certificate. Shopping Rewards™ points can be redeemed at www.shoppingrewards.com. Certain restrictions apply. | ||||||||||||
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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