Mail-In Dishwasher Rebate Certificate *
January 1 - December , 2008
1. Please check the box below, next to the offer you qualify for.
IN ORDER TO RECEIVE YOUR $100 REBATE

D3122XL

D3232XLSS

D5122XXL

2. Fill in serial number and article number. Serial Number: Article Number: The serial number (12 digits) and the article number (9 digits) are located on the product label, on the inside of the dishwasher door. **Failure to correctly complete this will delay processing.**
3. Valid purchase dates: 01/01/08 - 12/31/08 This rebate offer is limited to one rebate per certicate on model(s) D3122XL, D3232XLSS and D5122XXL, purchased from an authorized retailer from January 1, 2008 through December 31, 2008. LATE SUBMISSIONS WILL NOT BE ACCEPTED! This certicate must accompany your request. 4. Attach copy of sales receipt or invoice, verifying purchase and delivery, from an authorized dealer. (Dealer quotes not valid) Omission of sales receipt or any other information will delay processing. Offer valid for retail purchases, end-users only. Cannot be combined with any other offer. 5. Please provide contact information.
FIRST NAME LAST NAME APT. # STREET ADDRESS ZIP CITY STATE DATE PURCHASED: HOME PHONE # M / D /Y AUTHORIZED DEALER DISTRIBUTOR E-MAIL ADDRESS
6. Complete, sign and date this form. Customer Signature: ____________________________________ Date: ________________ I hereby understand and accept the above requirements of this rebate. Check must be cashed within 60 days of date of check. ** Rebate(s) may not be available in all markets.** 7. Mail-in the certicate. Must be postmarked no later than January 31, 2009. *Rebates may not be available in all markets. ASKO Appliances, Inc. Dishwasher Rebate PO BOX 940609 Plano,TX 75094-0609

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