Customer Name: _______________________________________________________

Address:______________________________________________________________

City:__________________________________State:______Zip:__________

Phone Number:___________________Email________________________

Home Store:__________________________________________

How did you find out about Heartland Hop 2010?

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SHOP HOP PASSPORT

(price increases to $7.00 after Shop Hop Begins)…………….$6.00 _______

Date Paid: ____________________

Amount Paid:______________________

Please note Passport purchase is non-refundable

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Heartland Hop July 16-25, 2010

With your $6.00 Heartland Hop Registration, you will receive a Shop Hop Passport that entitles you to a 20% discount at all Shop Hop Stores during the Shop Hop, July 16 -25 2010.

Please Note: Your Shop Hop Passport will be available to pick up by the end of June.

Limit, 1 per customer.

Customer must be present, with their Shop Hop Passport, to receive the 20% discount and have their Shop Hop Passport stamped.

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Visit all Participating Stores and have your Passport stamped to be eligible to win one of several Grand Prizes. All locations will feature a Summer-themed tag that is free with minimum purchase of $5.00.  Customer may opt to purchase a tag for $2.00 if they have spent less than $5.00.  This purchase does not contribute to the $5.00 minimum for an additional free tag.

For up-to-date information on the Shop Hop, please visit www.HeartlandHop.com

You may print this form, complete it and mail or take it to your ‘home store’ with your payment.

Participating Stores

A Paige 2 Remember – Blair                    Once Upon A Page – Beatrice

Ben Franklin Too – Lincoln                Pages in Time – Lincoln

Busy Scrappin? – Bellevue                 Precious Treasures – Fremont

Busy B’s – Fremont                                 The Scrapbook Store – Omaha

Kubellen Kraft – Waverly                          Yesterday?s Scrapbooking – Omaha