Limited time offer while supplies last. Requests for additional forms will not be honored. Reproduction, purchase, sale or trade of this certificate, proof of
purchase or cash register receipt is prohibited. Duplicate requests will not be honored or acknowledged. Fraudulent submission could result in federal prosecution
under mail fraud statues (Title 18, United States Code, Section 1342). Rights to the gift card are not assignable or transferable. We reserve the right to verify
identification. Not responsible for lost, late or undeliverable responses. No post office boxes allowed; only street or rural route addresses are acceptable. Void
where prohibited, taxed or restricted. Requests for rewards from employees, retailers, distributors, resellers, groups, clubs or organizations will not be honored.

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