Restaurant #:
Date of Visit:
Time of Visit:
(e.g. 06:30PM)

Receipt Number:
Total Amount $:

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*Offer valid for 30 days upon completion of the survey. $5 off coupon valid on your next visit for dine-in only at participating White Spot Restaurants. Minimum purchase of $30 per party of two. Receive $2.50 off for a single diner, with $15 minimum purchase. Not to be combined with any other promotional offer. Excludes alcohol. Limit one coupon per party of two per visit. Limit two survey entries and two coupons per guest per week. Server code "$5 Online or $2.50 Online." **For complete rules, eligibility, Sweepstakes period and PREVIOUS WINNERS please click on the appropriate links. No purchase/survey required to enter. Sweepstakes sponsored by Empathica Inc. across multiple international clients. Skill testing question may be required based on jurisdiction. Void where prohibited. Please note: Mobile survey is a shortened version of the survey. For the full length survey, please take the survey on your computer.
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