Mail in this original form with your cash register receipt dated between
9/26/11 and 11/30/11. Be sure to circle the participating products!

You must meet the following
terms to qualify for this offer:

❑ Proof of purchase (in the form
of an original US WalMart store
cash register receipt) must show
products that you purchased
(receipts cannot be returned).

❑ Circle products purchased on
register receipt.

❑ This original form must
accompany your request.

❑ Your request must be
postmarked by 12/15/11.

❑ Allow 3-4 weeks for shipment
of gift cards.


❑ Limit of one submission per
Print your full contact information clearly for proper delivery
of your gift card:

Printable Coupons are generally available for 5 days or less.

This Coupon has been added to the Budget101 Complete Coupon Database!