Receive, by mail, a $50 Rebate with the purchase of a SC-HT730 5-DVD Changer Panasonic Home Theater System.
Offer valid for purchase made from October 2, 2005 through December 31, 2005.
See back of coupon or salesperson for details.

OFFICIAL CLAIM FORM

Eligible Model: SC-HT730 only
Please print legibly and complete all information. Name _________________________________________________ Address _______________________________________________
(No P.O. Box Numbers will be accepted) (APO & FPO Box Numbers will be accepted)
How to claim your $50 Rebate:
1. To receive your $50.00 rebate by mail, purchase a Panasonic SC-HT730 from October 2, 2005 through December 31, 2005. 2. Return this completed form along with a copy of your sales receipt with the purchase price circled. You must cut out and include the original label from the
carton, which includes the UPC code, model number and serial number, or your claim cannot be processed.
City __________________________ State ________ Zip_________ Store Name _____________________________________________ City______________________________________ State_________ Date Purchased_________________________________________ Model #_________________________Serial #_________________ Signature ______________________________Todays Date______ Check here and provide your email if you would like to receive information about special promotions and new products from Panasonic. Email__________________________________________________
Mail your completed form to: Panasonic $50 SC-HT730 Rebate Promo #9592 PO Box 343170, Memphis, TN 38184 Questions? Go to www.acbrebate.com/panasonic or call 1-866-795-3383 to check or enter info. M-F 9:00-5:00 pm est.
IMPORTANT: If you have already submitted a rebate coupon for the GO Rear Wireless Rebate, please complete all the required information below. Please indicate the date on which the original serial number label from the SC-HT730 carton, including the UPC code, model number and serial number was sent ____/____/____. Please indicate the name of the person on the claim form ____________________________________. 3. Only handwritten responses will be accepted. No stickers or preprinted address labels. No P.O. Boxes except military APO/FPO (Air/Army Post Ofce or Fleet Post Ofce) addresses. Product must be new and unused. 4. Offer valid for purchase made from October 2, 2005 through December 31, 2005. All claims must be postmarked within one month of purchase. 5. This offer is only available to the end user and original purchaser. No claims from resellers, dealers/distributors, their employees or warehouse facilities, groups, clubs or organizations will be accepted or acknowledged. 6. Limit 1 rebate per person, address or household. It is illegal to submit multiple requests for the same individual or family. Fraudulent submissions of multiple requests could result in Federal prosecution under the U.S. Mail Fraud Statutes (18 USC, Sections 1341 and 1342). 7. Offer void where taxed, prohibited or restricted by law. Offer good only a) on purchases in the fty states of the United States and D.C. and b) to current U.S. residents only. Exceptions for U.S. military personnel overseas. 8. Panasonic Corporation of North America is not responsible for late, lost or misdirected mail. 9. Claim forms postmarked more than one month after purchase will not be honored. 10. Panasonic $50.00 rebate checks are ordinarily delivered within 8-14 weeks. Rebate check is void if not cashed within 90 days of issuance and cannot be reissued. 11. Panasonic reserves the right to audit any claims and to nullify any claims that cannot be substantiated. Panasonic reserves the right to amend the rules of the program or cancel this promotion without prior notice.

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