and mail this form with your receipt, or a copy or your receipt,
within 45 days:
P.O. Box 6126
Westerville, Ohio 43086-6126
PLEASE MAIL IN THIS FORM AND COPY OF YOUR ITINERARY.
This offer may not be used in conjunction with any other offers,
promotions, or coupons, and is non-transferable. Offer applies
to one purchase per member or member's household. Form is
void if altered, counterfeited, or obtained or used improperly.
Offer has no value except when redeemed in accordance with
these terms and conditions.
2006, Trilegiant Corporation
Coupon Code: 891085