GET UP TO $1300 OFF Select Electrolux Kitchen Appliances. Via Mail-In Rebate for a Prepaid MasterCard® Card. JANUARY 10 – APRIL 25, 2015 $50 BONUS with purchase of 2 qualifying appliances - OR - $150 BONUS with purchase of 3 qualifying appliances - OR - $250 BONUS with purchase of 4 qualifying appliances - OR - $300 BONUS with purchase of 5 or more qualifying appliances 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 • Mail completed claim form with legible photocopy of sales receipt dated between January 10 - April 25, 2015. • Envelope must be postmarked by May 25, 2015 and mailed to: Electrolux Per Item Rebate Offer, Program #EMAEL011501THD, P.O. Box 408, Elmsford, NY 10523. 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 Range Cooktops Refrigerators Microwaves Double ❑EI30EW45PS ❑EI27EW45PS Freestanding ❑EI30IF40LS French Door ❑ EI23BC80KS ❑ EI28BS80KS ❑ EI28BS65KS ❑ EI23BC65KS ❑ EI23BC60KS ❑ EI23BC35KS ❑ EI23BC30KS Over-The-Range ❑EI30BM60MS ❑EI30SM35QS $250 rebate $150 rebate $100 rebate $ $ Electric ❑ EI36EC45KS ❑ EI36EC45KB ❑EI30EC45KS ❑EI30EC45KB REBATE AMOUNT PRICE PAID COOKTOP SERIAL NUMBER Single ❑ EI30EW35PS ❑EI27EW35PS RANGE SERIAL NUMBER WALL OVEN SERIAL NUMBER All Refrigerator $ $ REBATE AMOUNT PRICE PAID Range Hoods $50 rebate ❑RH42PC60GS ❑RH36WC60GS ❑RH36PC60GS ❑RH36WC55GS ❑RH30WC55GS ❑RH30WC60GS RANGE HOOD SERIAL NUMBER $ $ REBATE AMOUNT PRICE PAID $200 rebate $50 rebate $ $ REBATE AMOUNT PRICE PAID $300 rebate ❑EI32AR80QS ALL REFRIGERATOR SERIAL NUMBER $ $ REBATE AMOUNT PRICE PAID Dishwashers $50 rebate ❑EI24ID50QS ❑ EI24ID30QS ❑ EIDW1805KS $100 rebate Side-By-Side ❑EI26SS30JS ❑ EI23CS65KS ❑ EI23CS35KS REFRIGERATOR SERIAL NUMBER $ $ REBATE AMOUNT PRICE PAID DISHWASHER SERIAL NUMBER All Freezer $300 rebate ❑EI32AF80QS $ $ REBATE AMOUNT PRICE PAID $ REBATE AMOUNT PRICE PAID MICROWAVE SERIAL NUMBER $ $ REBATE AMOUNT PRICE PAID REBATE AMOUNT $ BONUS AMOUNT (if applicable) $ REBATE + BONUS TOTAL $ Check if New Construction ATTACH LEGIBLE PHOTOCOPY OF STORE RECEIPT (to be eligible, model number must be an exact match to claim form). ALL FREEZER SERIAL NUMBER $ $100 rebate PROGRAM DETAILS Please keep a copy of your sales slip and this claim for your records. Selected Electrolux appliances listed purchased between January 10 - April 25, 2015 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 May 25, 2015. Online claims must be submitted by May 25, 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 June 15, 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 © 2015 Electrolux Home Products, Inc. E15BIPIRTHD 01/15
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