Claim – Bruck Finder

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Claim Deal

1a. CLAIM REAL DEAL (NEW) (#15)

Instructions: Enter info then show cashier to claim savings and redeem this deal.

BUSINESS NAME [1 Form Per Business]

[deal description]

Customer Purchase Summary

1. Customer Email (enter)

1a. Customer Type (Select 1)

New

Returning

VIP

2. How many deals did you buy? (Select 1)

1 Deal

2 Deals

3 Deals

4 Deals

2a. What did you buy? (Select 1)

Deal Only

Deal + Other Items

2b. Total Paid (with taxes)

2b. Total Paid (with taxes)

Cashier Verification

Cashier Initials or Number (cashier enter)

Total $ Paid Verified by Cashier (cashier mark)

Thank You

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