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I, _____________________________agree to program _________and will receive______+ any bonus
points_____
total points___________.
I,__________________________________agree
to make a monthly
payment of $___________
by cash____,
check____or Credit Card_____to _________________________________.
A valid Credit Card will be needed to be held
on file to secure payment weather the monthly or quaterly
payment be
cash or check. Any left over points at the end
of the yearly program will rollover to any future
program.
X__________________________________
X__________________________________