1. home and garden
2. appliances

EXCEPTIONAL TASTE STARTS HERE
RECEIVE UP TO $500 BACK
with purchase of select Electrolux Built-In Cooking Appliances
Via Mail-In Rebate for a Prepaid MasterCard®Card.
OCTOBER 15 - DECEMBER 31, 2014
TWO WAYS TO SUBMIT YOUR CLAIM. GO ONLINE TO SUBMIT YOUR CLAIM FOR PROCESSING IN ACCORDANCE WITH THE ONLINE INSTRUCTIONS
www.electroluxpromotions.com
COMPLETE BELOW ONLY IF YOU ARE NOT SUBMITTING ONLINE (MAY RESULT IN SLOWER PROCESSING).
LAST NAME
FIRST NAME
ADDRESS
CITY
STATE
ZIP
–
DAYTIME PHONE (
DEALER
–
)
–
DATE PURCHASED
–
E-MAIL
•M
ail completed claim form with legible photocopy of sales receipt dated between October 15 - December 31, 2014.
• Envelope must be postmarked by January 31, 2015 and mailed to:
Electrolux Per Item Rebate Offer, Program #EMAEL101402, P.O. Box 2100, Wayne, NJ 07474.
QUALIFYING APPLIANCES
Please indicate the qualifying model(s) purchased, provide serial number(s) and record your total rebate amount.
Only one appliance from each category may be applied to rebate offer. Individual sales apply only.
Wall Ovens
Microwaves
Range Hoods
Cooktops
Double
❑EW30EW65PS
❑EW27EW65PS
❑EI30EW45PS
❑EI27EW45PS
❑EW30SO60QS
❑EW27MO55HS
❑EI30BM60MS
❑RH42PC60GS
❑RH36PC60GS
❑RH36WC60GS
❑RH36WC55GS
❑RH30WC60GS
❑RH30WC55GS
Electric
❑EI36EC45KS
❑EI36EC45KB
❑EI30EC45KS
❑EI30EC45KB
$300 rebate
Microwave
Combination Oven
❑EW30MC65JS
❑EW27MC65JS
$200 rebate
Single
❑ EW30EW55PS
❑EW27EW55PS
❑ EI30EW35PS
❑EI27EW35PS
WALL OVEN SERIAL NUMBER
$
$
REBATE AMOUNT
PRICE PAID
$100 rebate
$100 rebate
$50 rebate
❑ EI30SM35QS
❑EI24MO45IB/
EI27MO45TW
❑EI24MO45IB/
EI30MO45TW
❑EI24MO45IB/
EI27MO45TB
❑EI24MO45IB/
EI30MO45TB
❑EI24MO45IB/
EI27MO45TS
❑EI24MO45IB/
EI30MO45TS
MICROWAVE SERIAL NUMBER
RANGE HOOD SERIAL NUMBER
$
$
REBATE AMOUNT PRICE PAID
Warmer Drawer
$50 rebate
❑EW30WD55QS
$50 rebate
Gas
❑EW36GC55PS
❑EW36GC55PB
❑EW30GC60PS
❑EW30GC55PB
❑EW30GC55PS
COOKTOP SERIAL NUMBER
$
$
REBATE AMOUNT
PRICE PAID
WARMER DRAWER SERIAL NUMBER
$
$
$
$
REBATE AMOUNT
PRICE PAID
REBATE AMOUNT PRICE PAID
ATTACH LEGIBLE PHOTOCOPY OF STORE RECEIPT (to be eligible, model number must be an exact match to claim form).
TOTAL REBATE AMOUNT
$
Check if New
Construction
PROGRAM DETAILS
Please keep a copy of your sales slip and this claim for your records. Selected Electrolux appliances listed purchased between October 15 - December 31, 2014 are eligible. Limit one appliance from each category
per customer, receipt, household or address. No substitution of other models is allowed. Claim MUST be postmarked no later than January 31, 2015. Online claims must be submitted by January 31, 2015. If you purchased
your appliance(s) as part of a new home construction or remodeling project, you may submit your claim upon delivery of your appliances (postmarked by February 21, 2015), provided the receipt was originally generated and
dated within the program period. MUST check new construction box above. Allow up to 8 weeks for delivery of MasterCard® Card. Cards are issued by Citibank, N.A. pursuant to a license from MasterCard International and
managed by Citi® Prepaid Services. Cards will not have cash access and can be used anywhere MasterCard debit cards are accepted. MasterCard is a registered trademark of MasterCard International Incorporated. The
MasterCard Card expires 6 months after issuance. This rebate cannot be combined with other Electrolux promotional rebate offers unless the offer specifically states that such offer may be combined
with this particular rebate. Inquiries regarding the status of a claim may be made by calling 1-866-226-7076 or visiting www.electroluxpromotions.com. Some restrictions may apply. Offer applies at participating
retail dealers only. Applicable to individual sales only. Multiple sales to apartments, condominiums, subdivisions, wholesale sales, etc. do not qualify. One claim per household per category. Photocopies will be accepted.
Completed materials will not be returned. Owner warranty registration card if mailed with this claim form will be submitted to service company on your behalf. Void where prohibited, taxed or otherwise restricted by law. Offer
good only in USA. Void in Puerto Rico. Requests with invalid or undeliverable mailing addresses, P.O. Box addresses (except those in North Dakota where P.O. box addresses are accepted) or addresses outside of the US will
be denied. Not available to clubs, organizations, or groups. Electrolux is not responsible for lost, late, incomplete, damaged, misdirected or postage due requests. Late, noncompliant or duplicate submissions WILL NOT BE
acknowledged, returned or honored. All submissions become property of Electrolux and will not be returned. Merchandise returned prior to rebate fulfillment will void rebate submissions. Rebate form may not be assigned,
transferred or sold. By submitting this claim, you hereby accept the stated terms and conditions. Offer excludes Lowe’s, Sears and Best Buy. See in-store sales associate for details. At participating retailers.
electroluxappliances.com
© 2014 Electrolux Home Products, Inc.
E14BIPIMIR 10/14