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Submit your claim by mail for standard processing Fill in your contact information to the right 1. Fill in your model and serial information on the following page(s) 2. Mail all pages of the rebate form and a copy of your sales invoice to: NECO REBATES, Promo # 1604058WP, PO Box 2100, Wayne NJ 07474 3. Purchase date is determined by the sales invoice date, for eligible models purchases between 4/1/2016 and 4/30/2016 4. Envelope must be postmarked by 5/31/2016 5. Allow 16 weeks from the time we receive all required information for delivery of your NECO Alliance Visa Reward Card 6. To check the status of your rebate, please visit www.necorebates.com 7. WHIRLPOOL "TRADE UP" REBATE EARN MODEL ALLOWANCES AS SHOWN BELOW FOR INDIVIDUAL CATEGORY PURCHASES MUST PURCHASE BETWEEN APRIL 1 - APRIL 30, 2016 EARN A $50 BONUS WHEN YOU PURCHASE A WASHER AND DRYER REBATE ISSUED VIA NECO ALLIANCE VISA® REWARD CARD Valid only on sales made from an authorized member of ADC, New England Group, DMI, or Intercounty Submit your claim online for faster processing Visit www.necorebates.com 1. Enter the promotion code as shown on this rebate form, and select “New Claim Entry” 2. After you have completed your claim, please write down your session number for reference 3. To check the status of your rebate, please return to www.necorebates.com 4. Contact information First Name: _____________________________________________ Last Name: _____________________________________________ Address: ___________________________________________ City: ______________________________________________ State: ___________________ ZIP: ______________________ Phone: _____________________________________________ Email: _____________________________________________ Date Purchased: _________________________________________ Invoice Number: ___________________________________________ Terms & Conditions: The NECO Alliance Visa Reward Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. This card will not have cash access but may be used wherever Visa Debit cards are accepted. This rebate offer is limited to one rebate per model per household. Cannot be combined with any other Neco rebate. Multiple sales to builders, apartments, condominiums, subdivisions, etc., do not qualify. DO NOT USE STAPLES, TAPE, PAPER CLIPS, when mailing your information. Please keep a copy of your invoice & this claim for your records. Void where prohibited, taxed or restricted by law. Missing or incomplete information will delay the processing of your rebate. The consumer is responsible for the appropriate sales tax and is solely responsible for lost, mutilated, or misdirected mail. By submitting this claim you hereby accept the above stated terms and conditions. Fraudulent submissions may result in federal prosecution. If you are unable to take delivery by the cut-off date, please make sure your claim has been entered on-line or mailed before the deadline. This will ensure your claim has been received during the program period. Kindly make sure an email address has been provided so that we are able to send you an automatic email message of any missing information. If you will NOT be taking delivery by the cut-off date of 05/31/2016,please give us a call at 855-359-7131. Your NECO Alliance Visa Reward Card is valid for purchases at U.S. locations for six months from the date that it is issued. 19 GLENNIE STREET WORCESTER, MA 01605 Program code 1604058WP Page 1 of 3
