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Please enter the date of your valid receipt (must be between 4/1/20 and 12/31/20):*
Please enter the location where your purchase of one 12-pack (equivalent or larger) of Dos Equis® AND minimum of (1) bottle Tequila (min. 750 ml bottle - must exceed $10) was made:*
How would you prefer to receive $10.00 back, if receipt is eligible & approved (allow 2 - 3 weeks for processing & delivery):*
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