Jeff Lynch Appliance & TV Center $100 Installation Allowance After Mail-In Rebate Jeff Lynch Appliance & TV Center Location ID #15100001 With the purchase of a Frigidaire Dishwasher at Jeff Lynch between April 19, 2015 and May 2, 2015 REBATE TERMS & CONDITIONS: 1. To apply for your rebate, complete all sections. Mail this completed redemption form with a dated copy of your invoice/receipt(s) to the address below: MAIL TO: Frigidaire Mail-In Rebate Offer Code: JL0415004 P.O. Box 421328 Del Rio, TX 78842-1328 2. Please list eligible model number, serial number, and purchase price in the box below: MUST BE COMPLETED TO QUALIFY ITEM MODEL NUMBER SERIAL NUMBER PURCHASE PRICE $ Dishwasher 3. PLEASE CIRCLE BELOW THE MODEL PURCHASED TO QUALIFY. MODEL MUST BE CIRLCED TO QUALIFY. $100 Dishwasher Installation Rebate Invoice/receipt must show the following information if applicable: qualifying models, items purchased, purchase price and purchase date. FPID2495QF FPID2497RF ENVELOPES MUST BE POSTMARKED BY May 16, 2015 4. TO BE COMPLETED BY CONSUMER: Allow 12 weeks from the time we receive all required information for the delivery of your rebate check. Rebate is valued at no more than $100. Name: Address: INCLUDE A COPY OF THE STORE RECEIPT SHOWING THE AMOUNT PAID AND MODEL(S) PURCHASED. City: Zip Code:  Please check here if you want to receive communications other than information concerning your rebate via e-mail. State: Phone: ( ) E-mail Address: Purchase Date: Install Date: Install Fee:$ 5. TO BE COMPLETED BY STORE: Purchase Invoice #: Salesperson Name: LEGAL TERMS & CONDITIONS: Offer is limited to one rebate per household. May not be combined with other rebates. Multiple sales to apartments, condominiums, subdivisions, wholesale sales, etc. do not qualify. Void where prohibited, taxed, or restricted by law. Prior Sales Do Not Qualify! Please complete all fields requesting information. Missing, incomplete, or incorrect information may delay processing and may void offer. The consumer is solely responsible for lost, damaged, or misdirected mail. Unless expressly prohibited by law, payee authorizes reasonable dormancy fees deducted if check is not cashed within 180 days. If you do not receive your rebate after 12 weeks, please visit www.inmarrebates.com or call (866) 973-2970 Monday through Friday 8:30 a.m. – 5 p.m. EST. v.4, 4/15/2015