Have extra form. Includes multiple states and US Military Bases. Receive a $15 pp card via MIR on purchase of atheltic shoes over $20 and (2) pks Michelob Ultar 6-pk or (1) Ultra 12 pk.

Exp 2/28. Submit by: 3/14.

States: AK,AZ,CA,CO,DC,DE,FL,GA,IA,ID,IL,KS,MD,MT,ND,NE,NH ,NM,OH,OK,OR,PA,SC,TN,VT,WA, WI, WY, and MILITARY BASES.

*As I found this on base, I will give first dibs to any fellow military family that responds. Thanks for understanding and honoring those that serve!! I may also have a second one to pass along, just waiting to see if family needs the form or not.