MasterCard® Prepaid Card by mail

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Offer Valid December 16, 2012 – January 5, 2013

MAIL-IN REBATE FORM

A Sale to Shout About

575

Receive up to a

$

MasterCard Prepaid Card by mail ®

with purchase of select Whirlpool Brand appliances

Please indicate qualifying Whirlpool Brand model(s) purchased and note serial number(s). One model per appliance type.

Up to a $125 Cooking Rebate Cooktops

G7CE303 GLT3057

W5CE302 W5CE362

$50 Rebate

$50 REBATE

W5CG302 W5CG362

Bottom-Freezer Refrigerators GB2FHDX GB9FHDX

Wall Ovens

$100 REBATE

RBS245P

WOS51EC

GW397LX GY397LX RY160LX

WDE150L WFE540H WFE710H

WFE720H WFG540H WFG710H

WFG720H

G7CE305 G7CE363 G7CE365 G7CG306

G7CG366 G9CE306 G9CE307 G9CE367

GCI3061 GLS3064 GLS3665 GLT3657

SC8720E

Ranges

Cooktops

$75 Rebate

GX2FHDX GX5FHDX

GX5FHTX

Side-by-Side Refrigerators ED2KHAX GSC25C4 GSC25C6

GSF26C4 GSS26C4 GSS30C6

Bottom-Freezer Refrigerators

WRS526S WRS537S WRS965C

WSF26C2

GI0FSAX GI6FDRX WRF736S GI6FARX GZ25FSR WRF989S Serial Number (REQUIRED)                                 

$100 REBATE Icemaker

Wall Ovens RBD245P WOC54EC

Up to a $200 Refrigeration Rebate Purchase eligible Refrigerator plus eligible Icemaker to receive full Refrigeration rebate listed above

$25 Rebate

$100 Rebate

WOC95EC WOD51EC

GI15NDX Serial Number (REQUIRED)                                 

WOD93EC WOS92EC

Up to a $250 Laundry Rebate

Ranges

GW399LX

GY399LX

WDE350L

WFI910H

GGE388L

GGE390L

GGG388L

GGG390L

Double Oven Ranges

Bonus Microwave Hood Combinations: Additional $25 when eligible Microwave Hood Combination is purchased with eligible $50 or $100 Rebate Range listed above GH7208X WMH5352 WMH7671 WMH3251 WMH7552 Bonus Ventilation Systems: Additional $25 when eligible Ventilation System is purchased with eligible $25, $50 or $100 Rebate Cooktop or Range listed above GXI6536 GXW6530 GXW7230 GXW7336 GXU7130 GXW6536 GXW7330 Serial Number (REQUIRED)                                 

TOP LOAD Rebate TOP LOAD washers $25 Rebate WTW5500X WTW5550XW

WTW5600XW WTW5700AC

$50 Rebate WTW8600

WTW8800

TOP LOAD dryers $25 Rebate WED5500X WED5550XW WED5600XW WED5700AC

$50 Rebate WED8600

WTW8200

WED8200 WGD5500X WGD5550XW WGD5600XW

WED8800

WGD5700AC WGD8200

WGD8600

WGD8800

FRONT LOAD Pair Rebate Serial Number (REQUIRED)                                  Purchase eligible Front Load Washer with eligible Front Load                       ( ) Serial Number REQUIRED                       Dryer to receive pair rebate listed above Front Load Washer Front Load Washers $100 PAIR REBATE WFW9351

Calculate your total rebate Cooking Rebate

$

Bonus Cooking Rebate

$

Refrigeration Rebate

$

Top Load Washer Rebate

$

Top Load Dryer Rebate

$

Front Load Pair Rebate

$

TOTAL REBATE DUE $ Offer #691-829

WFW9550

$150 PAIR REBATE WFW94HEA

$250 PAIR REBATE WFW96HE

WFW97HE

Front Load Dryers WED9371 WED94HEA WED9550

WED96HE WED97HE WGD9371

WGD94HEA WGD9550 WGD96HE

WGD97HE

Serial Number (REQUIRED)                                  Serial Number (REQUIRED)                                  Must complete both sides to receive your rebate.

A Sale to Shout About OFFER VALID 12/16/12 – 1/5/13 Follow these steps to receive your rebate: Provide your complete contact and purchase information. Unless otherwise indicated, ALL fields must be completed in order to process your rebate.

FIRST NAME

Last Name



Street Address APT. #



City

Date Purchased: Home Phone #

State

Month



ZIP

Day



Year

Email Address (optional)

❏❏Please notify me via email when my Mail-In Rebate Form has been received. ❏❏I do not wish to receive special offers, promotions or other email marketing communications from Whirlpool Corporation and its affiliated brands. All information we gather is governed by our privacy policy. For more information and for a list of affiliated brands, please visit our website at whirlpoolcorp.com/privacy



Retailer Name retailer # (if applicable)

PLEASE NOTE: Purchases must be made at an authorized hhgregg retailer in order to qualify for a rebate. Not valid for purchases made at Sears, Lowe’s, Best Buy, The Home Depot, Whirlpool or Maytag Outlet sites, Whirlpool Corporation’s VIPLINK™ Program or Employee Purchase Program, or online auction houses. In order to determine whether a retailer is authorized, please check with a sales associate prior to purchase. ®

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Did this rebate influence your purchase decision? Please check one: (optional) ❑ Yes  ❑ No

Check model(s) purchased and provide required serial number(s) on the reverse side of this form to determine total rebate amount. Please note: Multiple sales to apartments, builders, condominiums, subdivisions and wholesalers do not qualify.

4

Rebate Mailing Instructions

Mail this completed rebate form, along with a legible copy of your sales receipt dated between 12/16/12–1/5/13 to the address provided: ➜ PLEASE Note: Sales receipt must include PURCHASE DATE, PURCHASE PRICE and RETAILER NAME.

OFFER VALID 12/16/12–1/5/13

A Sale to Shout About – HHG Offer #691-829 P.O. Box 751592 El Paso, TX 88575-1592

MAIL-IN ENVELOPE MUST BE POSTMARKED NO LATER THAN 2/4/13.

Submitted materials will NOT be returned. Retain a copy of your rebate form and receipts for your records.

If you do not have your serial number(s) because your appliance(s) will not be delivered by the postmark date: 1. Mail this rebate form (without the serial numbers) according to the Mailing Instructions listed above by 2/4/13. 2. Call 1-877-624-7566 within 60 days after the postmark date to submit your serial number(s). A rebate will not be issued without (a) valid serial number(s). Please allow eight weeks from the time your Mail-In Rebate Form is mailed for delivery of rebate. Online Tracking. If you would like to track your rebate status online, please visit whirlpool.rewardpromo.com Questions? If you do not receive your rebate within 8 weeks from the date your Mail-In Rebate Form was mailed, you must call 1-877-624-7566, Monday–Saturday 7:00 a.m.–7:00 p.m., CST. Closed Sunday. Please have your model number(s) and corresponding serial number(s) ready. Terms of offer: Rebate is limited to one Mail-In Rebate Form per household (two Mail-In Rebate Forms per household in Rhode Island only) during the promotional period. Consumer may choose one model per appliance type up to a maximum of 7 models, with a maximum rebate amount of $575 per household. Rebate will be in the form of a Whirlpool Brand MasterCard Prepaid Card. LATE SUBMISSIONS WILL NOT BE ACCEPTED. Offer good only in the U.S.A. Purchases must be made at an authorized hhgregg retailer in order to qualify for a rebate. Not valid for purchases made at Sears, Lowe’s, Best Buy, The Home Depot, Whirlpool or Maytag Outlet sites, Whirlpool Corporation’s VIPLINK™ Program or Employee Purchase Program, or online auction houses. Purchases of refurbished or previously sold models do not qualify for the promotion. Rebate form is not transferable. Omission of sales receipt or any other information will delay processing or disqualify your request. All submitted proofs of purchase become the property of Whirlpool Corporation and cannot be returned. Whirlpool Corporation and the retailers are not responsible for lost, late, illegible, incomplete, damaged or misdirected submissions or postage due requests/mail. Keep a copy for your files. Fraudulent submissions could result in federal prosecution under U.S. Mail Fraud Statutes (Title 18, United States Code, Sections 1341 and 1342). ALL CLAIMS SUBJECT TO AUDIT. Disclosure: Cards are issued by Citibank, N.A. pursuant to a license from MasterCard International Incorporated. MasterCard is a registered trademark of MasterCard International Incorporated. Cards will not have cash access and can be used everywhere MasterCard debit cards are accepted. Each time you use the card, the transaction amount will be deducted from your available balance. Terms and conditions apply including, as permitted by law, a monthly maintenance fee of $3 will be applied to all accounts, provided that the fee for months 1-12 will not be collected until the twelve-month anniversary date. Fees thereafter will be collected monthly. Fees will be postponed if either of the following criteria [are/is] met: 1) There have been funds added to the account in the last three months; 2) There have been purchases made with the account in the last three months. The charge will be recurring each month unless the account is active as stated in (1) or (2) above or the balance of the account is $0.00. The MasterCard Prepaid Card expires 12 months from the date of issuance. Whirlpool Corporation reserves the right to substitute a check of equal value in lieu of a Prepaid Card at its sole discretion. ®/™ ©2012 Whirlpool. All rights reserved. EXC‑14305 REV-A ®

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