LIQUOR/WINE FORMS>
BACARDI #1198T $3.00 (Receipt On1, Write UPC) Grand rapids, MN 1/4/10 Postmark 1/18/10 VALID IN MD,DC,SC,VA & DE

Price: $0.30
Availability: 10

Purchase (1) 1.75 L Bottle of Bacardi Superior, Gold or Select Rums, send in this form and the original CRT with price circled and write the UPC in the space provided. 1/4/10 Postmark 1/18/10

VALID IN MD,DC,SC,VA & DE