Choose $250/$500/$750 from this section
(You receive $50 reward card for $250; $100 card for $500; $150 card for $750)
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Choose $100 in GAS
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Central Fresh Markets
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$25x_____ $50x_____ $100x_____
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Canadian Tire
Gas and Store
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$25x_____ $50x_____$100x___
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Hometown Grocers Co-Op
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$25x_____ $50x_____ $100x_____
(Chesley Grocery Store, Drayton Foodmarket, L&M Arthur,
L&M Durham, Knechtel Food Market – Lucknow, L&M Elora,
L&M Harriston, L&M Palmerston)
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Esso
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$25x_____ $50x_____$100X___
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Petro Canada
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$25x_____ $50x_____$100X___
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Loblaws
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$25x_____ $50x_____ $100x_____ $250x_____
(Loblaws, Zehrs, No Frills, Value Mart, Fortinos, Your Independent Grocer, Extra Foods, The Real Canadian Superstore & Wholesale Clubs, Maxi & Co, Provigo, Atlantic Superstore, SaveEasy & Super Value)
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Pioneer
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$25x_____ $50x_____ $100x___
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Choose your REWARDS
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Metro/Food Basics
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$25x_____ $50x_____ $100x_____
(Metro, A&P, Dominion, Loeb, Ultra Food/Drug, The Barn, Food Basics)
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Choose the reward card you would like to receive for 12 months of participation in the program:
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Sobey’s/Foodland
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$25x_____ $50x_____ $100x_____ $250x_____
(Sobeys, Foodland, Price Chopper, IGA, Knechtels, Town, Omni, Boni Choix, Tradition, Commissio’s, Freshco)
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 Loblaws
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 Shoppers Drug Mart
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M & M’s
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$25x_____ $50x_____ $100x_____
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Shoppers Drug Mart
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$25x_____ $50x_____$100______
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Or choose to:
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Tim Horton’s
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$15x_____ $25x_____ $50x_____
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Donate my reward value to JDRF
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