Please enter the following pieces of information from your receipt.
4-digit Store Number: Input digits 1 through 4 of the store number.
Visit Time: Hour -- 010203040506070809101112 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Meridiem -- AMPM
Survey ID:
Input digits 1 through 4 of the survey ID. Input digits 5 through 9 of the survey ID. Input digits 10 through 13 of the survey ID.