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





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