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LIQUOR/WINE FORMS>
(NEW) Tequila Rose #407 310-201 2 X $10.00 = $20.00 (Receipts, Write UPC's) Cinnaminson, NJ 12/31/09 Postmark 1/31/2010 Pink HangTag
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$2.00
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11
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To receive your 2 X$10.00 = $20.00 Purchase (2) 1.75 L for $10.00 or (2) 375ml or 750 ml Bottles of Tequila Rose,
send in theis form and the CRT with price circled. Write UPC in spaces provided. 12/31/09
Postmark 1/31/2010 Can DO TWO Per Household.2 X $10.00 = $20.00
Pink Hang Tag
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