2025 AG Buy Local Program Receipt Submission Form PHASE #2

Thank you for eating, drinking, and shopping in the Village!
2025 AG Buy Local Gift Card Program Phase #2

Support our Village businesses. The Traffic Way Bridge is closed for construction but the Village is OPEN for business. Receipts will only be accepted from qualifying local merchants and must be dated after September 01, 2025. RECEIPTS FROM JULY 1 TO AUGUST 31 DO NOT QUALIFY
Thank you for eating, drinking and shopping in the Village!

For every $100 spent, you are eligible to receive a $20 gift card to a Village restaurant or coffee shop* . If your receipts total $200, you will receive two gift cards of $20 each. Multiple receipts can be combined to reach the $100 goal.

**Any one single receipt over $100 will only count for one $20 gift card

**Sales tax, tips, and gift card purchases do not count toward the $100.

Receipts must be from qualifying businesses (listed below), within the Traffic Way Bridge Replacement Project area.

*while supplies last

RECEIPTS DATED FROM JULY 1 TO AUGUST 31 DO NOT QUALIFY

Receipts from the below qualifying businesses will be accepted.

Amber Creek Collections	Annex Supply Co.	Antiques Vintage Marketplace
Arroyo Grande Chevrolet Dealership	Arroyo Grande Meat Company	Beauty and the Barber
Bill’s Cleaners	Bill's Place	Branch Street Deli and Pizzeria
Bridge Street Massage Therapy	Brisco's Village Gift Shop	Café Andreini
Carol’s Gifts in the Village	Carols Gifts and Jewelry	Cherry Lane Nursery
Chic Interiors	Chrissy's Cottage by the Sea	Donut Delight
Fabella Skin Therapy	Gina's Italian Cuisine	Hair Saloon & Spa
Heritage	Hive Supply Co.	Home 2 Home Interiors
Hubbalicious Sweet Shoppe	Humdinger Brewing	Hydro Heaven
Jaffa Café	JB Auto	Kahuna's
Klondike Pizza	La Costa Grill	Lady Di’s Boutique
Last Chance Liquors BBQ & Deli	Lavender Blu Boutique	Lemos Feed & Pet Supply
Lightning Joe's Guitar Heaven	Little Oaks Toys	Luca's Deli and Wine
Lux Aesthetics	Mason Bar & Kitchen	Miners Ace Hardware
Monarch Books	Monica Mare Esthetics	Mule Bakery
Mullahey Ford Dealership	Neighbor's General Store	Old Village Grill
Palo Mesa Wood Fire Pizza	Poke Morro	Posies in the Village
Reflections Salon	Remember When Storybook Photography	Resharp
Rhonda's Relics	Roger Dunn Golf	Rontal Salon & Beauty Center
Rooster Creek Tavern	Rooted Hair Salon	Rori's Artisanal Creamery
Sarah McDonough Massage	Sidewalk Café	SLO Massage Therapy
Sports Dugout Arroyo Grande	Strictly Nails	Strictly Nails
The Cozy Patio	The Cutting Edge Salon	The Green Room
The Haven	Timbre Winery	Verdad & Lindquist Wine Tasting at the Gallery
Villa Cantina	Village Bike Shop	Village Café
Village Creative	Village Salon	Vix Creek Saloon
Within Reach Therapeutic Services	The Gallery AG	Branch Street Antiques
Tasty Thai

Instructions:

Using the upload feature near the bottom of this page, please submit your receipts totaling $100 or more from qualifying Village businesses in the Traffic Way Bridge Replacement project area including restaurant, brewery, winery, personal services and retail sectors by selecting the business from the drop down menu. You can upload up to 7 receipts. JPG, PNG, and PDF files are all accepted. Receipts can be from more than one Village business to total $100. Receipts must be dated after September 01, 2025 to qualify.

**Any one single receipt over $100 will only count for one $20 gift card. **Sales tax, tips, and gift card purchases do not count toward the $100 qualifying amount.

Receipts between July 1 and August 31 DO NOT QUALIFY

Once your receipts are uploaded below and submitted, you will receive an automatic email confirmation to acknowledge your form submission. Once your receipts are verified, you will receive a second email confirmation (within 7 days) to acknowledge if your receipts qualify for the free rewardgift card/s. Your reward gift card/s will be mailed to your address within 7-10 business days.

Please take a moment to fill out the contact information below. Reward Gift cards will be distributed first come first serve. Please indicate your TOP 3 choices so we can try and accommodate your request. Substitutions are not allowed.

This gift card program will end when all gift cards are redeemed.
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Receipt 1*
Select the name of the establishment
Date of Purchase*

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase (sub-total)*
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries. *

Cancelof
Receipt 2
Select the name of the establishment
Date of Purchase

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries.

Cancelof
Receipt 3
Select the name of the establishment
Date of Purchase

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries.

Cancelof
Receipt 4
Select the name of the establishment
Date of Purchase

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries.

Cancelof
Receipt 5
Select the name of the establishment
Date of Purchase

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries.

Cancelof
Receipt 6
Select the name of the establishment
Date of Purchase

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries.

Cancelof
Receipt 7
Select the name of the establishment
Date of Purchase

MonthDayYear
Must be on or after September 1, 2025. Purchases from July 1 to August 31 DO NOT COUNT
Amount of Purchase
DO NOT INCLUDE SALES TAX, TIPS, or GIFTCARD PURCHASES IN THIS TOTAL
Upload a copy of your receipt below. Please make sure the receipt is legible and the name of the qualifying Village business, date of purchase, and the sub-total amount of spending can be seen clearly and match your above entries.

Cancelof

Total $ amount for all receipts entered:
Enter the total amount of all receipts submitted.
Total amount submitted: (should match your total above)
FIRST Choice of $20 Reward Gift Card*
We will do our best to accommodate your request. Reward Gift Cards are while supplies last. Thank you for understanding if you receive a substitute reward gift card
SECOND Choice of $20 Reward Gift Card
We will do our best to accommodate your request. Reward Gift Cards are while supplies last. Thank you for understanding if you receive a substitute reward gift card
THIRD Choice of $20 Reward Gift Card
We will do our best to accommodate your request. Reward Gift Cards are while supplies last. Thank you for understanding if you receive a substitute reward gift card
Please type any additional comments below:
Thank you for eating, drinking, and shopping in the Village of Arroyo Grande

Your generosity in supporting local business is in partnership with the efforts of the City of Arroyo Grande and South County Chambers of Commerce. Please call (805) 489-1488 or email office@southcountychambers.com with any questions.

#AGVillageBuyLocal

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Thank you for eating, drinking, and shopping in the Village!

2025 AG Buy Local Gift Card Program Phase #2