UltimaPoolSpa.com How to Claim Your Ultima® Rebate 1. Purchase Ultima® Total Control Shock and Algaecide (25 lbs.), Cell Extend, Watertite or Ultima® T.K.O. (25 lbs. or 24 x 1 lb.), and receive a $5.00 rebate by mail. Purchase Party Blue® Water Enhancer, PowerWash Cell Cleaner, Speed Clean Citrus or Ultima® Total Control Shock and Algaecide (3 lbs.) and receive a $2.00 rebate. Products must be purchased between January 1, 2012 and December 31, 2012. Offer applies to the following products only. Please check the products and quantities purchased below. $5.00 Rebate $2.00 Rebate Ultima® Total Control Shock and Algaecide (25 lbs.) Quantity ______ Party Blue® Water Enhancer Quantity ______ Cell Extend Quantity ______ PowerWash Cell Cleaner Quantity ______ Watertite Quantity ______ Speed Clean Citrus Quantity ______ Ultima® T.K.O. (25 lbs.) Quantity ______ Ultima® T.K.O. (24 x 1 lbs.) Quantity ______ Ultima® Total Control Shock and Algaecide (3 lbs.) Quantity ______ TOTAL REBATE REQUESTED $ ____________ 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: Inmar Rebate Center Attn: Program ULTIMA02 PO Box 426008 Del Rio, TX 78842 Check the status of your rebate by visiting www.CMSPromoCheck.com Terms and Conditions: 1. Offer valid for purchase of qualifying Ultima products between January 1, 2012 and December 31, 2012. 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. Ultima® and Party Blue® are registered trademarks of Arch Chemicals, Inc. Ultima is a business of Arch Chemicals, Inc. © 2012 Arch Chemicals, Inc. All rights reserved. Arch Chemicals, Inc. is now a part of Lonza.
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