Complete this word form on your computer; print it and hand it in at the Gift Card table or to the office

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ORDER FORM Complete this WORD form on your computer; print it and hand it in at the Gift Card table or to the office Name: Telephone: Email: Date: Paid by: Cash Cheque Debit Visa MC OTY DEN % TOTAL American Eagle, Aerie, 77kids 25.00 5.0% Bass Pro Shops 50.00 7.0% Bath & Body Works 25.00 7.0% Best Buy 25.00 1.5% Best Buy 100.00 1.5% The Body Shop 25.00 7.0% Boston Pizza 25.00 7.0% Canadian Tire - Canadian Tire Gas Bar 25.00 4.0% Canadian Tire - Canadian Tire Gas Bar 50.00 4.0% Canadian Tire - Canadian Tire Gas Bar 100.00 4.0% Cara - Swiss Chalet, Kelsey's, Harvey's, Montana's, Milestones, Coza Tuscan 25.00 4.0% Cara - Swiss Chalet, Kelsey's, Harvey's, Montana's, Milestones, Coza Tuscan 50.00 4.0% Chapter's, Indigo, Coles, World's Biggest Book Store 10.00 10.0% Chapter's, Indigo, Coles, World's Biggest Book Store 25.00 10.0% The Children's Place 25.00 9.0% Cineplex, Galaxy, Famous, Coliseum, SilverCity, Colossus, Paramount Admit One 10.00 6.5% Cineplex, Galaxy, Famous, Coliseum, SilverCity, Colossus, Paramount Child's Night Out 13.50 8.0% Cineplex Gift Card 25.00 4.0% Earls Restaurants 25.00 7.0% Esso, On The Run 25.00 2.5% Esso, On The Run 50.00 2.5% Esso, On The Run 100.00 2.5% Fairmont Hotels 50.00 10.0% The Gap, Gap Kids, Baby Gap, Old Navy, Banana Republic 25.00 7.0% Giant Tiger, Tigre Geant, Scott's Discount, Chez Tante Marie 25.00 3.5% The Home Depot 25.00 3.0% The Home Depot 100.00 3.0% Home Hardware 25.00 3.5% Home Hardware 100.00 3.5% HBC - The Bay, Zellers, Home Outfitters 25.00 3.5% HBC - The Bay, Zellers, Home Outfitters 100.00 3.5% The Keg 25.00 8.0% The Keg 50.00 8.0% The Keg 100.00 8.0% Kernels Popcorn - get a two for one coupon with each gift card 10.00 7.0% La Senza, La Senza Girl, Silk and Satin 25.00 7.0% Laura Secord 25.00 10.0% Loblaws, No Frills, Zehrs, Fortinos, Valu-mart, Extra Foods, Independent, Atlantic / Real Canadian Superstore, Maxi, Provigo, Real Canadian Wholesale, National Grocers, SaveEasy, SuperValu 50.00 3.5% Loblaws, No Frills, Zehrs, Fortinos, Valu-mart, Extra Foods, Independent, Atlantic / Real Canadian Superstore, Maxi, Provigo, Real Canadian Wholesale, National Grocers, SaveEasy, SuperValu 100.00 3.5% Loblaws, No Frills, Zehrs, Fortinos, Valu-mart, Extra Foods, Independent, Atlantic / Real Canadian Superstore, Maxi, Provigo, Real Canadian Wholesale, National Grocers, SaveEasy, SuperValu 250.00 3.5% Longos 50.00 3.5% Lowe's Canada 100.00 2.0% Mark's Work Warehouse, L'Equipeur 25.00 7.0% Metro, Food Basics 50.00 3.5% Metro, Food Basics 100.00 3.5% M & M Meat Shops 25.00 4.0% Moores 25.00 5.0% Moxies Classic Grill 25.00 10.0% NHL Online Merchandise - Not for Game Tickets 50.00 8.0% Payless ShoeSource 25.00 10.0% Petro-Canada 25.00 3.0% Petro-Canada 50.00 3.0% Petro-Canada 100.00 3.0% Pier 1 Imports 25.00 5.0% Pioneer Petroleums 50.00 1.5% Pizza Pizza, Pizza 73 25.00 10.0% Rainbow Cinema & Magic Lantern Certificate 5.00 7.0% Red Lobster, Olive Garden 25.00 7.0% Rona, Reno-Depot, Totem Building Supplies, Botanix, Chester DAWE 25.00 5.0% Rona, Reno-Depot, Totem Building Supplies, Botanix, Chester DAWE 100.00 5.0% Roots, Roots Kids, Baby Roots, Roots Home 25.00 15.0% Safeway, Vons, Carrs, Genuardis, Pavilions, Dominicks, Pak n Save 50.00 4.0% Sears, Sears Home, Sears Travel 25.00 3.5% Sears, Sears Home, Sears Travel 100.00 3.5% Shell Canada 50.00 2.0% Sheridan Nurseries 25.00 4.0% The Shoe Company, Town Shoes 25.00 7.0% Shoppers Drug Mart / Pharmaprix 25.00 3.0% Shoppers Drug Mart / Pharmaprix 100.00 3.0% Jack Astor's, Alice Fazooli's, Far Niente, Reds, Canyon Creek, The Loose Moose 25.00 10.0% Sobeys, IGA, Price Chopper, Foodland, FreshCo, Lawtons Drugs, Thrifty Foods, Rachelle-Bery 25.00 4.0% Sobeys, IGA, Price Chopper, Foodland, FreshCo, Lawtons Drugs, Thrifty Foods, Rachelle-Bery 50.00 4.0% Sobeys, IGA, Price Chopper, Foodland, FreshCo, Lawtons Drugs, Thrifty Foods, Rachelle-Bery 100.00 4.0% Sport Chek, Coast Mountain Sports, Nevada Bobs in Sport Check 25.00 4.0% Staples Business Depot 25.00 3.0% Staples Business Depot 100.00 3.0% Starbucks 25.00 5.0% Subway 25.00 3.0% Tim Hortons 25.00 4.0% Tim Hortons 50.00 4.0% Toys R Us - Babies R Us 25.00 2.0% Ultramar Gas 50.00 2.0% Walmart 25.00 2.0% Walmart 50.00 2.0% Walmart 100.00 2.0% Walmart 250.00 2.0% WaySpa 50.00 15.0% Wendy's Restaurants 10.00 3.0% Wendy's Restaurants 25.00 3.0% West49, Billabong, Duke's Northshore 25.00 6.0% Winners, Home Sense, Marshalls 25.00 8.0% Winners, Home Sense, Marshalls 100.00 8.0% GRAND TOTAL Directory: PDFs PDFs -> The petition and case system PDFs -> Sal men’s 12 Step Recovery Meeting for Sexual Addiction Introduction PDFs -> What is ascaa? PDFs -> Tel./Fax No. 2287 3696 PDFs -> 1–xx. The Redevelopment of a Warm Core Structure in Erin: a case of Inland Tropical Storm Formation PDFs -> Policies and Procedures 40 – Eligibility PDFs -> Policies and Procedures 40 – Eligibility PDFs -> Rev. 10 Sep 2008 Ozark Hispanic Studies League PDFs -> Handbook of exercises for transportation sector personnel Download 124.29 Kb. Share with your friends: