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Tracking Number: 1415941818971124

Print and Sign Your Rebate Form
Mail Rebate To: (must match billing address on invoice or packing slip) chad white 4202 ross st Red Deer, AB t4n 1w8 (403) 597-4222 Offer Code: Amount: Item: ASU-5716 C $100.00 ASUS G73JW-A1 Notebook Maximum: Unlimited per household Starts: Expires: Rebate Amount: C $100.00 Must be postmarked within: Reseller: 01 / 01 / 2011 01 / 31 / 2011 30 Days of purchase - All Resellers -

MasterCard Amount: C $100.00

I have read and agree to the terms of the rebate as described on the website. Signature: __________________________________________________ Date:________________ YOU MUST SIGN AND MAIL IN THIS FORM AND THE DOCUMENTATION REQUIRED TO RECEIVE YOUR REBATE

Mail In Rebate Form
Mailing Instructions:

1. Print this form Please print and mail this form to us. 2. Enclose all documents Attach all the required proof of purchase documentation to this rebate form and place everything in a mailing envelope. 3. Mail it Affix the label displayed below to your envelope. Envelopes without a proper label may not be delivered and processed.

4. This Submission Requires (please be sure to include all necessary documentation): Signed Rebate Form Copy of Receipt/Invoice or Packing List Original UPC/Serial Number Barcode Label 5. Confirmation A confirmation email that includes your tracking number for this rebate has been sent to the email address you provided. You will receive additional updates as your rebate status changes. Please allow 1 to 2 weeks after mailing your rebate application to receive an update to your status.

Please locate barcode label on your product (proof of purchase) similar to the one below and affix here.

IMPORTANT - Envelopes without a proper label may not be delivered and processed.

SAMPLE IMAGE, Not the actual size

Rebate Processing Offer #: ASU-5716 P.O. Box 129331 San Diego, CA 92112-9331

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1/21/2011 11:08 AM

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