GIFT CARD REGISTRATION FORM

REDEMPTION INSTRUCTIONS: To receive your Complimentary Gift Card, please complete this form
(* required fields).

First Name:*
Last Name:*
Address:*
City:*
State:*
ZIP:*
Phone Number:*
E-mail Address:*
Confirm Your E-mail Address:*
Note: Please be sure to hold onto your promotional card containing the pin/batch/seq number
until your selected gift card is received.
PIN Number Issued:*
Batch Number:* -
Please select your preferred provider:*
- Move your mouse over the category to reveal available gift cards -
Preferred provider cards and/or certificates are subject to availability. If your selected provider becomes unavailable, Corporate Gift Card Redemption Center reserves the right to replace with a comparable provider.

Dining Gift Cards

Applebee's Au Bon Pain Bahama Breeze
Bailey's Pub & Grill Baja Fresh® Bonefish Grill
Boston Market Bruegger's Bagels Burger King
California Pizza Kitchen Carrabba's Italian Grill Carr's
Champps Americana Chili's Claim Jumper
Cracker Barrel Old Country Store Darden Restaurants Dave & Busters
Dunkin' Donuts El Pollo Loco Home Town Buffet
Jack in the Box KFC LA Food Show
Lettuce Entertain You Logan's Roadhouse LongHorn Steakhouse®
Lou Malnati's Maggiano's Little Italy Mimi's Cafe
Noodles & Co. O'Charley's Old Country Buffet
Olive Garden On the Border Outback Steakhouse
P.F. Chang's China Bistro Panera Bread® Papa John's Pizza
Qdoba Mexican Grill Red Lobster Red Robin
Rock Bottom Restaurant & Brewery Rocky Mountain Chocolate Factory Romano's Macaroni Grill
Roy's Ruby Tuesdays Ruth's Criss
Ryan's Steak 'n Shake SUBWAY
T.G.I. Friday's Texas Roadhouse The Capital Grille
The Cheesecake Factory Uno's Chicago Grill

Entertainment Gift Cards

Amazon.com E-certificate AMC Theatres Barnes & Noble
Best Western Billboard Music Borders®
Brunswick Zone iTunes Marriott
Regal Entertainment Group

Gas Gift Cards

ARCO BP Circle K
Gulf Oil Marathon Oil Shell
Speedway/Super America Sunoco

Grocery Gift Cards

Albertson's Cub Foods Dominicks
MAPCO Pack n' Save Pavilions
Randalls Safeway Vons

Retail Gift Cards

ACME Advanced Auto Parts AJWright
American Eagle Outfitters Babies 'R' Us Banana Republic
Bass Pro Shops Bath & Body Works Bed Bath & Beyond®
Belk Best Buy® Bloomingdales
Brinker International Brooks Brothers Calloway Golf
Casual Male Champ's Crate & Barrel
Crutchfield CVS Pharmacy Express
F.Y.E. Fannie May Fire Mountain
Fleming's Foot Action Foot Locker
Fox & Hound GameStop Gap
Golfsmith Gordmans Hallmark
HomeGoods HSN (Home Shopping Network) Jared® The Galleria of Jewelry
JB Robinsons JCPenney Jewel-Osco
Joe Caputo & sons Jos. A Bank Kay® Jewelers
Kids Foot Locker Kmart Kohl's
L.L. Bean Ladies Foot Locker Land's End
Lowe's Lord & Taylor Macy's
Marshalls Menards Men's Wearhouse
Nike Old Navy Payless ShoeSource
Persona MAX Pier One Pottery Barn
Pottery Barn Kids Regis Salon Saks
Sally Beauty Supply Sam's Club Sav-On
Sears Seasons 32 Sheetz
Sinclair Sports Authority Sunglass Hut
T.J. Maxx Talbots The Finish Line
The Home Depot® The Limited The Orvis Company, Inc.
TigerDirect.com Toys 'R' Us Walmart
Yankee Candle

Specialty Coffee Card

Starbucks

TERMS AND CONDITIONS: Please allow 2 to 4 weeks for delivery of your Gift Card. Limit five (5) Gift Cards per household. Corporate Gift Card Redemption Center (“CGCRC”) has been retained by Staples to fulfill your Gift Cards. CGCRC is not responsible for late, lost, mutilated, misdirected, undeliverable, incomplete or postage due requests. By redeeming this promotional card, you consent to the collection, use, and disclosure of information contained by CGCRC, together with any information you may subsequently provide to CGCRC, or to any third party, solely for the purposes of processing your request. CGCRC and Staples are not responsible for lost or stolen promotional cards or Gift Cards. Incomplete, invalid or missing information will not be processed. Void where prohibited by law. For promotional use only.
For customer service, call CGCRC at 1-800-872-1921 (customer service hours are Mon.-Fri. 7 a.m. to 3 p.m. Pacific Time).


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