LIQUOR/WINE FORMS>
(NEW) Kahlua #426008-PRUSA 7238 $10.00 (Receipt On (1) 1.75 L, Write UPC On Receipt) Del Rio, TX 10/1/09 - 12/31/09 Postmark 1/15/10 Valid In WA,OR,ID,MT & WY CAN DO (3) Submissions Per Household

Price: $1.00

To Receive your $10.00 purchase (1) 1.75 L of Kahlua, KahluaFlavors or Kahlua  Cream, send in this completed form and the original CRT dated between 10/1/09 - 12/31/09 with the price circled. write the UPC on your Receipt. 12/31/09 Postmark 1/15/10

Valid In WA,OR,ID,MT & WY CAN DO (3) Submissions Per Household