Stater Bros. Gift Card

• Gift Cards will be mailed to you via certified mail. • To expedite holiday orders we suggest that you mail in your order form at the earliest possib...

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Stater Bros. Gift Card... The Stater Bros. Gift Card is the perfect choice for holidays, birthdays, graduations, baby showers, weddings, housewarmings or any special occasion. • Good at all Stater Bros. stores. • The Gift Card may be purchased in five denominations. • Simple, convenient, wallet-sized and easy to use. • The Stater Bros. Gift Card can be redeemed for all merchandise and services at our stores with the exception of other Retailer Gift Cards. • Any unused balance remains on the card until used up.

Gift Card ORDER FORM

• Gift Cards will be mailed to you via certified mail. • To expedite holiday orders we suggest that you mail in your order form at the earliest possible date. • Gift Cards are redeemable at any STATER BROS. Market. • STATER BROS. Gift Cards have the convenience of allowing you to carry forward any unused balance on the card. • STATER BROS. Gift Cards are available in denominations of: $10.00, $15.00, $25.00, $50.00 or $100.00. • We offer a discount for large purchases. This discount is applied to the “redeemed total value” of an individual purchase. • SAVE 1% on orders of $500.00 to $999.00. • SAVE 2% on orders of $1,000.00 to $1,999.00. • SAVE 3% on orders of $2,000.00 to $2,999.00. • SAVE 4% on orders of $3,000.00 to $3,999.00. • SAVE 5% on orders of $4,000.00 to $4,999.00. • SAVE 6% on orders of $5,000.00 or more.

NO DISCOUNTS ON CREDIT CARD PURCHASES. CREDIT CARDS ACCEPTED AT STORE LEVEL ONLY. Please note: Discounts are only applicable to orders placed through the Corporate Office (call-in or mail orders). Gift Cards sold “off the shelf” at the stores are not discounted. Stater Bros. Gift Cards can be redeemed for all food, general merchandise and services at our Supermarkets with the exception of other Retailer Gift Cards.

For Further information phone: (909) 733-5040 or 1-800-367-9682 or write: STATER BROS. MARKETS P.O. BOX 150, San Bernardino, CA 92402 Attn: Gift Card Coordinator

____________________________________________________________________ PLEASE SEND CARDS TO: DATE ____________________________________________________________________ COMPANY ____________________________________________________________________ ADDRESS ____________________________________________________________________ CITY ZIP ____________________________________________________________________ ENVELOPES NEEDED? DEADLINE DATE TELEPHONE NO. NO YES QTY ____________________________________________________________________ NAME & SIGNATURE ____________________________________________________________________ DELIVERY INSTRUCTIONS ____________________________________________________________________ QUANTITY GIFT CARD GIFT CARD ORDERED DOLLAR VALUE TOTAL ____________________________________________________________________ $10.00 Ten Dollars ____________________________________________________________________ $15.00 Fifteen Dollars ____________________________________________________________________ $25.00 Twenty-Five Dollars ____________________________________________________________________ $50.00 Fifty Dollars ____________________________________________________________________ $100.00 One Hundred Dollars ____________________________________________________________________ TOTAL GIFT CARDS Gift Card Total ____________________________________________________________________ Sub-Total ____________________________________________________________________ ORDERS EXCEEDING $500.00 % DISCOUNT ____________________________________________________________________ Postage (see chart) ____________________________________________________________________ TOTAL COST (Sub-Total Total Quantity (use to calculate postage) -Discount + Postage) Please send remittance in full with your order.

POSTAGE CHART Postage - You can pick up your completed order at our Main Office or at any of our Stater Bros. Markets at no charge. The following postage rates will apply for gift cards mailed to you. Quantity Ordered Postage via Certified Mail Pick up at Store or Main Office...................................Free 1-5 ..............................................................................$6.50 6-10 ............................................................................$7.50 11-25 ..........................................................................$8.50 26-50 ..........................................................................$10.00 51-100 ........................................................................$11.50 101-300 ......................................................................$12.00 Greater than 300.......................................................... To be determined by quantity, please call for pricing.