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For more information contact us at: [email protected]
How to Claim Your Ultima Rebate
1. Purchase Ultima® Total Control, Clean & Refresh, Enzyme Clarifier, Platinum Plus, NIX, T.K.O. 25 lb. or S.O.S. 25 lb.
and receive a $5.00 rebate by mail. Purchase Ultima S.O.S. 1 lb. pouch or T.K.O. 1 lb. pouch and receive a $1.00
rebate for each pouch you buy. Products must be purchased between January 1, 2011 and December 31, 2011. Offer
applies to the following products only. Please check the products and quantities purchased below.
$5.00 Rebate
Platinum Plus (all sizes)
Quantity _________
NIX
Quantity _________
T.K.O. 25 lb.
Quantity _________
Quantity _________
Quantity _________
Total Control
Clean & Refresh
Enzyme Clarifier
S.O.S. 25 lb.
Quantity _________
Quantity _________
$1.00 Rebate
S.O.S. 1 lb.
Quantity _________
T.K.O. 1 lb.
Quantity _________
Total Rebate Amount: $_________
2. Please print legibly and complete all information.
Name:
Address:
State:
City:
Zip:
Email address:
Signature:
Store where purchased:
Date of purchase:
Check here to receive special offers, news and more from Ultima.
3. Mail your completed claim form and a copy of your receipt to:
Ultima Consumer Rebate
1400 Bluegrass Lakes Pkwy.
Alpharetta, GA 30004
Terms and Conditions:
1. Offer valid for purchase of qualifying Ultima products between January 1, 2011 and December 31, 2011.
2. Return completed form with a copy of your cash register receipt with the qualifying purchase(s) circled.
3. Limit one submission per person, address or household.
4. Void where taxed, prohibited or restricted by law.
5. Advantis Technologies is not responsible for late, lost or misdirected mail.
6. Allow 6-8 weeks for rebate check to be delivered. Rebate checks are void if not cashed within 90 days of issuance and cannot be reissued.
7. Offer valid for retail consumers only.
Advantis Technologies is a business of Arch Chemicals, Inc. Ultima® is a registered trademarks of Arch Chemicals, Inc. The Ultima logo is a trademark of Arch Chemicals, Inc.
©2011 Arch Chemicals, Inc. All rights reserved.