Nestle Waters Sparkling Spring Water Rebate Form

NESTLÉ WATERS NORTH AMERICA INC.
TRY US FOR 7 DAYS…GET HOOKED OR GET MORE THAN YOUR MONEY BACK
LIMITED TIME MAIL-IN REFUND OFFER
OFFICIAL TERMS & CONDITIONS
OFFICIAL MAIL-IN REFUND FORM
OFFER EXPIRES 12/31/16
Try our Arrowhead,® Deer Park,® Ice Mountain,® Ozarka,® Poland Spring® or Zephyrhills® Brand Sparkling
Spring Waters! If you’re not hooked at the end of 7 days, get your purchase price back + 10%, excluding
applicable sales tax, bottle deposits and discounts!*
1. To participate in this offer you must purchase either:
• One (1) .5-Liter 6-Pack AND one (1) 1-Liter bottle of Arrowhead® Brand Sparkling
Mountain Spring Water or Deer Park,® Ice Mountain,® Ozarka,® Poland Spring® or
Zephyrhills® Brand Sparkling Natural Spring Water (any flavors).
OR
• FOUR (4) 1-Liter bottles of Arrowhead® Brand Sparkling Mountain Spring Water or Deer
Park,® Ice Mountain,® Ozarka,® Poland Spring® or Zephyrhills® Brand Sparkling Natural
Spring Water (any flavors).
OR
• ONE (1) 12 oz. 12-Pack of Deer Park®, Poland Spring® or Zephyrhills® Brand Sparklers™
Sparkling Natural Spring Water (any flavor).
2. If you are not hooked on our products:
• Print this Official Mail-In Refund Form and complete the information below; and
• Mail this completed Refund Form along with your original cash register receipt(s) dated
between 12/15/14 & 12/31/16 with the products/prices circled and the original UPC(s) from
the packaging, as shown in the examples below, of each product (e.g., from Multi-Pack
shrink-wrap or carton or from each 1-Liter bottle) to: NWNA Get Hooked Offer, P.O. Box
6051, Offer 37285, Douglas, AZ 85655. No copies permitted.
3. Offer expires 12/31/16. Requests must be postmarked within 60 days of the last purchase date
indicated on the receipt in order to be eligible. Any refund request received after 3/8/17 will not
be accepted.
Name: ______________________________________
(Please Print)
Address: ___________________________________
(No P.O. Boxes, except ND)
City: _____________ State: _______ Zip: _________
Age: _______________
Purchase Date: _______________
Retailer Name: ____________________
Reason for Refund Request: _____________________________________
Limit: one (1) refund per name, household or address.
*Refund amount for the .5-Liter 6-Pack AND 1-Liter bottle will be for the purchase price of the product (up
to $2.99 for the 5.-Liter 6-Pack; up to $1.49 for the 1-Liter bottle) plus 10% of the purchase price, excluding
applicable sales tax, bottle/can deposits and the amount of any coupon or discount received at the time of
purchase. Maximum refund: $4.93.
*Refund amount for the four (4) 1-Liter bottles will be for the purchase price of the product (up to $1.49 per
bottle) plus 10% of the purchase price, excluding applicable sales tax, bottle/can deposits and the amount of
any coupon or discount received at the time of purchase. Maximum refund: $6.56.
*Refund amount for the 12 oz. 12-Pack will be for the purchase price of the product (up to $4.49) plus 10%
of the purchase price, excluding applicable sales tax, bottle/can deposits and the amount of any coupon or
discount received at the time of purchase. Maximum refund: $4.94.
*Terms: Offer valid only on Arrowhead,® Deer Park,® Ice Mountain,® Ozarka,® Poland Spring® or
Zephyrhills® Brand Sparkling Spring Water products purchased from 12/15/14 to 12/31/16. Limit: one (1)
refund per name, household or address. This fully completed Official Mail-In Refund Form and original
cash register receipt(s) and original UPC(s) must accompany your request. Requests must be postmarked
within 60 days of the last purchase date indicated on the receipt in order to be eligible. Refund requests
must be received by 3/8/17. Offer valid in USA only and is limited to US residents who are at least 18 years
old. Employees of Nestlé Waters North America Inc. (“Sponsor”), its retailers and promotional agencies are
not eligible for this offer. Requests from groups, clubs or organizations will not be honored or returned.
Refund request may not be assigned, transferred or sold. Use of multiple addresses or P.O. boxes to obtain
additional refunds is fraud. Fraudulent submissions may result in prosecution. Please allow 4−6 weeks from
receipt of required documentation for check processing. Only original Official Mail-In Refund Form, cash
register receipts and UPCs will be honored. No photocopies, faxes, mechanically reproduced, forged or
altered Official Mail-In Refund Forms, cash register receipts or UPCs will be allowed. Keep copies of all
materials submitted; originals become the property of Sponsor and will not be returned. Sponsor is not
responsible for delayed, postage-due, illegible, mutilated, late, lost, incomplete, stolen or misdirected
requests. Duplicate requests and requests that do not strictly comply with these terms in Sponsor’s discretion
will be rejected and returned. Refund amount is limited as described above. This offer may not be
republished, distributed or posted without written consent from Sponsor. Void where prohibited, taxed or
restricted. Offer expires 12/31/16. For inquiries, call 1-800-605-6651.
©2015 Nestlé Waters North America Inc.