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Get $5 back when you purchase $25 worth of participating
Get $10 back when you purchase $35 } Kimberly-Clark brands!
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To receive your rebate:
1. Buy $25 worth of Kimberly-Clark brands to receive a $5 rebate,
or buy $35 worth of Kimberly-Clark brands to receive a $10 rebate
between 7/1/14 and 10/31/14 in one shopping trip.†
OFFICIAL
REBATE FORM
Name
2. Complete this form and mail it in with your original cash register
receipt with qualifying purchases circled.
3. Mail your completed form and original cash register receipt by 11/30/14 to: Street Address
Kimberly-Clark Broker Rebate July/October 2014
Dept. 36972 | P.O. Box 6074 | Douglas, AZ 85655-6074
4. Look for your rebate in your mailbox 8–10 weeks from 12/8/14.
City
For participating retailers, visit www.KCbrokerrebate.com/July-October2014 State
Participating brands: HUGGIES® Products, PULL-UPS® Training Pants, GOODNITES® Underwear,
KLEENEX® Facial Tissue, KLEENEX® Hand Towels, COTTONELLE® Products, SCOTT® Products, VIVA®
Towels, DEPEND® Products, POISE® Products, KOTEX® Products and U by Kotex® Products.
Note: DEPEND® REAL FIT® and DEPEND® SILHOUETTE® ARE NOT PARTICIPATING PRODUCTS
in this rebate.
Customer service phone number: 1-877-391-5275
Monday–Friday, 7:00 AM–6:00 PM CST
For a full list of participating retailers, visit
www.KCbrokerrebate.com/July-October2014
ZIP
Daytime Phone
Evening Phone
Participating Retailer Name
Circle Qualifying Rebate Amount
5
$
10
$
†Offer good only on qualifying purchases made between 7/1/14 and 10/31/14 at participating retailers. Product must be purchased at
a participating retailer in one shopping visit. Circle your purchases of any of the Kimberly-Clark Brands listed that total $25 or $35 on
your original receipt. Place the original receipt and original rebate form in an envelope and mail with the correct amount of postage
to: Kimberly-Clark Broker Rebate July/October 2014, Dept. 36972, P.O. Box 6074, Douglas, AZ 85655-6074. Please retain a copy for
your records. Envelopes must be postmarked by 11/30/14 and received by 12/8/14. Limit one (1) rebate form per household or address.
Purchases must be made in one transaction. Please allow 8 to 10 weeks for delivery from 12/8/14. Copies of official rebate form or cash
register receipt will not be accepted and will not be returned. Rebate offer requests are not redeemable in store. Neither retailers nor
the participating brands are responsible for non-complying order forms, lost, late, misdirected, illegible, postage-due or undeliverable
mail. Requests from P.O. Boxes, organizations or clubs will not be honored or returned. Requests that in Kimberly-Clark’s sole discretion
do not comply with terms and conditions of offer, including fraudulent requests, are invalid. Void where taxed, prohibited or restricted.
Offer good only in the United States. Participating retailer list will be available at www.KCbrokerrebate.com/July-October2014.
®Registered Trademark and *Trademark of Kimberly-Clark Worldwide, Inc. ©2014 KCWW. ©Disney. ©Disney/Pixar. Based on the
“Winnie the Pooh” works by A.A. Milne and E.H. Shepard.