Order Form
Your full name:
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Your email address:
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Please retype your email address for verification:
Your Prize Points card number:
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Your preselected PIN:
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Delivery instructions (select one):
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Please send this order to the "Redemption Center" that I most frequently shop at for free pick up.
Please send this to the address of record associated with this card and notify me of the applicable shipping and handling fees.
Short description of first item:
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Catalog item number:
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Points required for this item:
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How many of this first item?
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10
Short description of second item:
Catalog item number for second item:
Points required for second item:
How many of this second item?
1
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9
Short description of third item:
Catalog item number for third item:
Points required for third item:
How many of this third item?
1
2
3
4
5
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8
9
10
Enter the characters displayed above in the box below.