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8
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
Where did you shop today?
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If more than one store, please select the store you spent the most in.
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5
How much did you spend?
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Please note, minimum spend of $150 in Majors or $50 in specialty stores apply. If combining a Majors receipt with a specialty store the minimum Majors spend applies. Please add new row per receipt/retailer. Enter numbers only.
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6
Please upload a photo of a valid receipt(s).
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7
By submitting this form I agree to the competition terms and conditions.
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8
By submitting this form I agree to the privacy policy, and would like to receive emails containing news, events and offers from The Pines Elanora
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