$50 Cricket Visa® Prepaid Card Mail-In Offer Limited time offer with new activation or phone upgrade on existing line of service on qualified plan, non-approval for a Fortiva and/or YBUY phone payment plan, and purchase of an eligible handset priced at $99.99 or more. Offer # Start CKT-1316 1/26/2014 wireless End Date Postmark Date Valid Markets Service Plan Requirements 3/29/2014 No later than 30 (thirty) days from Fortiva or YBUY application non-approval date. Valid in all Cricket markets. Must have been non-approved for a Fortiva or YBUY Phone Payment Plan. Must be a customer for at least 45 days from purchase of eligible device and not had your service in suspense at any time during such 45 day period. Indicate Device Purchased. Check only one (1) Tape (do not staple) your UPC/proof-of purchase here UPC code Sale price of the handsets listed below must be $99.99 or more to be eligible for this offer. Engage LT Engage MT Admire II Authority Galaxy SIII iPhone 4 Source One SV Galaxy S4 iPhone 4S iPhone 5 iPhone 5C iPhone 5S Engage Mercury One V Regard Transfix Curve 9350 To receive your Visa prepaid card, the following must be mailed and postmarked by the Postmark Date listed above: This completed form. In Personal Account Information, address must match the one on the Fortiva or YBUY application and phone number should be the oldest associated with the account. A photocopy of your sales receipt for the qualifying phone purchased. Circle the eligible phone and price paid. The entire proof-of-purchase label from the phone box. You must cut the entire label from the actual phone box and tape to this form in the space indicated above, right. If you are unable to cut the label from the box, you may write the code in the spaces provided to the right. Please print clearly. E L P SAM Enter UPC code here (will be 12 numbers long) Personal Account Information Please print clearly using capital letters in blue or black ink. First Name Last Name Street Address Mail To: Cricket Promotions, Offer CKT-1316 PO Box 752857 El Paso, TX 88575-2857 (We cannot accept a PO Box without a street address. Must match address on Fortiva or YBUY application.) City Please do not mail Cricket payments to this address. State Details: • You should receive your Visa prepaid card within 60 days after your mail-in reward request has been received and becomes eligible. • Activate your Visa prepaid card upon receipt and use your card prior to Valid Thru date. Zip Cricket Account# Cricket Phone# Non-approval Date IMPORTANT: Make copies of all reward submission materials for your records. Any disputed claim will require photocopy substantiation. Terms and Conditions: A) Visa prepaid card mail-in offer valid only with the purchase of a qualified Cricket phone, non-approval for a Fortiva or YBUY phone payment plan, and new activation or phone upgrade on an existing line of service on a qualified plan from participating Cricket retail store, an Authorized Agent or mycricket.com between January 26 and March 29, 2014. Valid in all Cricket markets. Reward subject to product availability. Products may not be available in all locations. B) Customer’s wireless service and required features must not have been in suspense when the offer form is processed and validated 45 days after purchase to be eligible for this reward. C) A separate reward form must be completed and mailed in a separate envelope with all requested documentation for each disqualification. Limit one Visa® prepaid card for each disqualified applicant. A maximum limit of 1 reward submission per applicant relating to this offer, and a maximum annual limit of 10 total Cricket promotional offers (including rewards, premiums, sweepstakes and others) per person or household/addresses applies. D) Cricket and Fulfillment Company assume no liability for lost, late, damaged, misdirected, or postage-due mail or requests that fail to be properly delivered to the address stated on the order form for any reason. Illegal or incomplete requests will not be honored. Void where prohibited or restricted. Sale, trade, assignment or purchase of this reward form or proof of purchase is prohibited. Use of multiple addresses or multiple P.O. Boxes to obtain additional rewards is considered fraud, will be deemed void and invalidate all submissions, and may result in prosecution under U.S. Mail Fraud Statute (18 USC Sections 1341-1342). Cricket reserves the right to modify or withdraw this promotion at any time and without notice. E) Offer valid while supplies last. Offer does not apply to used/refurbished handsets or on insurance/warranty claims. Visa prepaid card is valid for 120 days after its activation. This offer is not available if discount provided at the point of sale brings the sale price of the phone below $99.99. F) Cricket Visa® Prepaid Cards are issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. and managed by Citi Prepaid Services. Cards will not have cash access and can be used everywhere Visa debit cards are accepted. Card valid through expiration date shown on front of card. For customer service please call 1-888-326-6178 M-F, 6 a.m. - 6 p.m. MST or e-mail [email protected]. To check rebate status visit www.web-rebates.com/mycricket 1316-1.6.2014