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GET BACK 250 up to

$

On Select Frigidaire Gallery® Smudge-Proof™ Kitchen Appliances *Via mail-in rebate for a prepaid MasterCard® Card

spend

Buy 2, Get $100 back Buy 3, Get $150 back Buy 4, Get $200 back Buy 5 or more, Get $250 back

less time

cleaning with

April 3 - May 14, 2016

Two ways to submit your claim. GO ONLINE TO SUBMIT YOUR CLAIM FOR PROCESSING IN ACCORDANCE WITH THE ONLINE INSTRUCTIONS

www.frigidairepromotions.com COMPLETE BELOW ONLY IF YOU ARE NOT SUBMITTING ONLINE (may result in slower processing). LAST NAME

FIRST NAME

ADDRESS

CITY

STATE DEALER

ZIP





DAYTIME PHONE ( DATE PURCHASED



) –



E-MAIL

 ail completed claim form with legible photocopy of sales receipt dated between April 3 - May 14, 2016. M • Envelope must be postmarked by June 14, 2016 and mailed to: •

Frigidaire Gallery® Spring Cleaning Event Offer, Program #EMAFR041601, P.O. Box 2100, Wayne, NJ 07474-2100

*

spend less time cleaning with

GET BACK $250* up to

On Select Frigidaire Gallery® Smudge-Proof™ Kitchen Appliances

Buy 2, Get $100 back Buy 4, Get $200 back Buy 3, Get $150 back Buy 5 or more, Get $250 back

*Via mail-in rebate for a prepaid MasterCard® Card

April 3 - May 14, 2016

Qualifying MODELS Please indicate the qualifying models purchased, provide serial numbers, purchase price and record your total rebate amount.

All Refrigerator/ All Freezer*

Refrigerators Top Mount ❑ FGHI2164QF ❑ FGHT2046QF ❑ FGTR2045QF ❑ FGTR2044QF ❑ FGHI1864QF ❑ FGHT1846QF ❑ FGTR1845QF ❑ FGTR1844QF

Side-By-Side ❑ FGHS2655PF ❑ FGHS2631PF ❑ FGHS2355PF ❑ FGHC2355PF ❑ FGHC2331PF ❑ DGUS2645LF

French Door ❑ FGHN2866PF ❑ FGHB2866PF ❑ FGHG2366PF ❑ FGHF2366PF ❑ DGHF2360PF ❑ FGEB28D7RF

Serial Number (Required to Qualify)

*If both All Refrigerator and All Freezer are purchased, it qualifies for two appliance purchases. ❑ FGRU19F6QF ❑ FGFU19F6QF

Serial Number (Required to Qualify) Actual Purchase Price

$ Serial Number (Required to Qualify)

Ranges

Cooktops

Freestanding Range ❑ FGIF3061NF ❑ FGGF3058RF ❑ FGEF3058RF ❑ FGGF3035RF ❑ FGEF3035RF ❑ FGGF3030PF ❑ FGEF3030PF ❑ DGGF3045RF ❑ BGGF3045RF

❑ FGIC3667MB ❑ FGGC3645QS ❑ FGEC3645PS ❑ FGIC3067MB ❑ FGEC3067MS ❑ FGEC3067MB

❑ DGEF3041KF ❑ FGEF306TPF ❑ FGGF304DPF ❑ FGEF302TPF Slide-In Range ❑ FGIS3065PF ❑ FGDS3065PF ❑ FGGS3065PF ❑ FGES3065PF

$

Freezers ❑ FGVU21F8QF ❑ FGVU17F8QF (Required to Qualify) Serial Number Actual Purchase Price

$

Serial Number (Required to Qualify) Actual Purchase Price

$

Serial Number (Required to Qualify)

Actual Purchase Price

$ Actual Purchase Price

$ Actual Purchase Price

❑ FGGC3047QS ❑ FGGC3045QS ❑ FGEC3045PS

Wall Ovens Double Wall Oven Single Wall Oven ❑ FGET3065PF ❑ FGEW3065PF ❑ FGET2765PF ❑ FGEW2765PF

Microwaves ❑ FGMO205KF ❑ FGMV175QF ❑ FGMV154CLF

Microwave Oven Combination ❑ FGMC3065PF ❑ FGMC2765PF

Serial Number (Required to Qualify)

Serial Number (Required to Qualify)

Dishwashers ❑ FGID2477RF ❑ FGID2474QF ❑ FGID2466QF ❑ FGBD2445NF

❑ DGBD2438pF ❑ FGBD2438PF ❑ FGBD2434PF ❑ FGCD2456QF

Serial Number (Required to Qualify) Actual Purchase Price

$

Actual Purchase Price

$

Actual Purchase Price

$ Check if New Construction

Total Rebate Amount

$

PROGRAM (#EMAFR041601) DETAILS Please keep a copy of your sales slip and this claim for your records. Selected Frigidaire Gallery® appliances listed purchased between April 3 - May 14, 2016 are eligible. Limit one appliance from each category per customer, receipt, household or address. No substitution of other models is allowed. Claim MUST be postmarked no later than June 14, 2016. Online claims must be submitted by June 14, 2016. If you purchased your appliance(s) as part of a new home construction or remodeling project, you may submit your claim upon delivery of your appliances (postmarked by July 5, 2016), provided the receipt was originally generated and dated within the program period. MUST check new construction box above. All products must be purchased on the same invoice. Allow up to 8 weeks for delivery of MasterCard® Card. Cards are issued by Citibank, N.A. pursuant to a license from MasterCard International and managed by Citi® Prepaid Services. Cards will not have cash access and can be used anywhere MasterCard debit cards are accepted. MasterCard is a registered trademark of MasterCard International Incorporated. The MasterCard Card expires 6 months after issuance. This rebate cannot be combined with other Frigidaire® promotional rebate offers unless the offer specifically states that such offer may be combined with this particular rebate. Inquiries regarding the status of a claim may be made by calling 1-866226-7076 or visiting www.frigidairepromotions.com.   Some restrictions may apply.   Offer applies at participating retail dealers only. Applicable to individual sales only. Multiple sales to apartments, condominiums, subdivisions, wholesale sales, etc. do not qualify. One claim per household. Photocopies will be accepted. Completed materials will not be returned. Owner warranty registration card if mailed with this claim form will be submitted to service company on your behalf. Void where prohibited, taxed or otherwise restricted by law. Offer good only in USA. Void in Puerto Rico. Requests with invalid or undeliverable mailing addresses, P.O. Box addresses (except those in North Dakota where P.O. box addresses are accepted) or addresses outside of the US will be denied. Not available to clubs, organizations, or groups. Frigidaire® is not responsible for lost, late, incomplete, damaged, misdirected or postage due requests. Late, noncompliant or duplicate submissions WILL NOT BE acknowledged, returned or honored. All submissions become property of Frigidaire® and will not be returned. Merchandise returned prior to rebate fulfillment will void rebate submissions. Rebate form may not be assigned, transferred or sold. By submitting this claim, you hereby accept the stated terms and conditions. Purchases made at Lowe’s, Home Depot and Sears are not eligible for this rebate. See in-store sales associate for details. At participating retailers.

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