Customer Rewards

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* Please enter your full name

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* Birthday (mm/dd/yyyy) - This will be your reference code

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* Please enter your email address for confirmation

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* Mailing Address

Please enter your label counts below - if none, enter "0"

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* How many green labels (10 pts each) are you redeeming?

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* How many silver labels (15 pts each) are you redeeming?

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* How many black labels (20 pts each) are you redeeming?

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* Total points from all labels

Please Select Your Reward Item

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* Green Tier - 200 Points per item

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* Silver Tier - 400 Points per item

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* Black Tier - 750 Points Per Item

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* Select your size (if applicable)

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* Dispensary of Choice

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* * By submitting this form, you agree to receive Ilera updates, new product drops, and rewards news by email or text. Don’t worry — we only send the good stuff, and you can unsubscribe anytime.

Yes

Please write the reference code on the back of the envelope