GET BACK 200 $ with purchase of select Frigidaire® branded wall oven & cooktop, or slide-in range & over-the-range microwave bundles via mail-in rebate for a prepaid MasterCard® Card October 1 - December 3, 2016 Two ways to submit your claim. GO ONLINE TO SUBMIT YOUR CLAIM FOR PROCESSING IN ACCORDANCE WITH THE ONLINE INSTRUCTIONS www.frigidairepromotions.com COMPLETE BELOW ONLY IF YOU ARE NOT SUBMITTING ONLINE (may result in slower processing). LAST NAME FIRST NAME ADDRESS CITY STATE DEALER ZIP – DAYTIME PHONE ( DATE PURCHASED – ) – – E-MAIL ail completed claim form with legible photocopy of sales receipt dated between October 1 - December 3, 2016. M • Envelope must be postmarked by January 3, 2017 and mailed to: • Frigidaire® Bundle Rebate Offer, Program #EMAFR101601, P.O. Box 2100, Wayne, NJ 07474-2100 *Rebate is a prepaid MasterCard® Card. 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. Buy qualifying Frigidaire® branded wall oven & cooktop, or slide-in range & over-the-range microwave bundles to qualify. Products must be purchased on the same invoice. See in-store sales associate for details. At participating retailers. GET BACK 200 $ with purchase of select Frigidaire® branded wall oven & cooktop, or slide-in range & over-the-range microwave bundles via mail-in rebate for a prepaid MasterCard® Card October 1 - December 3, 2016 QUALIFYING APPLIANCES Please indicate the qualifying models purchased, provide serial numbers and prices paid. BUNDLE OPTION 1 BUNDLE OPTION 2 Wall Oven & Cooktop Bundles Range & Over-The-Range Microwave Bundles Must Select 1 Wall Oven (or Microwave Oven Combination) and 1 Cooktop Must Select 1 Range and 1 Microwave Wall Ovens Double Wall Oven ❑ FPET3077RF ❑ FGET3065PF ❑ FGET3065PW ❑ FGET3065PB ❑ FGET2765PF ❑ FGET2765PW ❑ FGET2765PB ❑ FFET3025PS ❑ FFET3025PW ❑ FFET3025PB ❑ FFET2725PS ❑ FFET2725PW ❑ FFET2725PB Microwave Oven Combination ❑ FGMC3065PF ❑ FGMC3065PB ❑ FGMC2765PF ❑ FGMC2765PB Cooktops Single Wall Oven ❑ FPEW3077RF ❑ FGEW3065PF ❑ FGEW2765PF ❑ FFEW3025PS ❑ FFEW3025PW ❑ FFEW3025PB ❑ FFEW2725PW ❑ FFEW2725PB ❑ FFEW2725PS ❑ FFGW2415QS ❑ FFGW2415QW ❑ FFGW2415QB ❑ FFEW2415QW ❑ FFEW2415QB ❑ FFEW2425QS ❑ FFEW2425QW ❑ FFEW2425QB ❑ FFGW2425QS ❑ FFGW2425QW ❑ FFGW2425QB ❑ FGEW276SPF ❑ FGEW276SPB ❑ FGEW3065PB ❑ FGEW2765PB ❑ FGEW3065PW ❑ FGEW2765PW Serial Number (Required to Qualify) Actual Purchase Price ❑ FPGC3677RS ❑ FPIC3677RF ❑ FPEC3677RF ❑ FPGC3077RS ❑ FPIC3077RF ❑ FPEC3077RF ❑ FGIC3667MB ❑ FGGC3645QS ❑ FGGC3645QW ❑ FGGC3645QB ❑ FGEC3645PS ❑ FGEC3645KW ❑ FGEC3645KB ❑ FGIC3067MB ❑ FGEC3067MS ❑ FGEC3067MB ❑ FGGC3047QS ❑ FGGC3047QW ❑ FGGC3047QB ❑ FGGC3045QS ❑ FGGC3045QW ❑ FGGC3045QB ❑ FGEC3045PS ❑ FGEC3045KW ❑ FGEC3045KB ❑ FFGC3626SS ❑ FFGC3626SW ❑ FFGC3626SB ❑ FFEC3624PS ❑ FFEC3624PW ❑ FFEC3624PB ❑ FFGC3026SS ❑ FFGC3026SW ❑ FFGC3026SB ❑ FFEC3024PS ❑ FFEC3024LW ❑ FFEC3024LB Serial Number (Required to Qualify) Actual Purchase Price $ Ranges Microwaves Slide-In ❑ FGDS3065PF ❑ FGIS3065PF ❑ FGGS3065PF ❑ FGGS3065PW ❑ FGGS3065PB ❑ FGES3065PF ❑ FGES3065PW ❑ FGES3065PB Over-The-Range ❑ FGMV175QF ❑ FGMV175QW ❑ FGMV175QB ❑ FGMV154CLF ❑ FGMV153CLW ❑ FGMV153CLB Serial Number (Required to Qualify) Actual Purchase Price Serial Number (Required to Qualify) Actual Purchase Price $ $ MUST PURCHASE 2 QUALIFYING PRODUCTS. Total Rebate Amount $ Check if New Construction ATTACH LEGIBLE PHOTOCOPY OF STORE RECEIPT (to be eligible, model number must be an exact match to claim form). $ PROGRAM (#EMAFR101601) DETAILS Please keep a copy of your sales slip and this claim for your records. Selected Frigidaire Professional®, Frigidaire Gallery® or Frigidaire® appliances listed purchased between October 1 - December 3, 2016 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 3, 2017. Online claims must be submitted by January 3, 2017. 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 January 24, 2017), provided the receipt was originally generated and dated within the program period. MUST check new construction box above. All products must be purchased on the same invoice. 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 Frigidaire® 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.frigidairepromotions.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. 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. Frigidaire® 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 Frigidaire® 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. Purchases made at Lowe’s, Home Depot, Sears, and Best Buy are not eligible for this rebate. See in-store sales associate for details. At participating retailers. frigidaire.com © 2016 Frigidaire® All rights reserved. F16BIBRF-2 10/16
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