FREE Dishwasher Installation (up to $150 value) with the purchase of ...

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FREE Dishwasher Installation (up to $150 value) with the purchase of a qualifying 4-piece Whirlpool, Maytag or KitchenAid kitchen package and dishwasher installation, when purchased between November 8, 2012 and November 17, 2012. Offer valid on Dishwasher installation only. All Rebates will be in the form of a Visa® prepaid card.

To receive rebate: 1. Completely fill out this form. 2. Must be postmarked by December 17, 2012, and include the following: This completed form A legible copy of your h.h. gregg receipt, clearly showing: •h.h. gregg ORD# in the upper right corner •the purchase of the eligible 4-piece kitchen package •h.h. gregg installation of dishwasher, with installation code 3. Requests from groups, organizations and P.O. Box addresses will not be accepted. 4. Limit one rebate per person, receipt, product, household, family or address. 5. Customer must first pay installation charges to qualify for rebate. _________________________________________________________ Last Name _________________________________________________________ First Name __________________________________________________________________________ Street Address ___________________________________ City

__________________________________ INSTALLATION CODE

___________ State

__________________________________ ORDER NUMBER (ORD#)

_______________ Zip Code

_____________________________ Daytime Phone

______________________________ Evening Phone

___________________________________________________________ Email (We will email confirmation of the receipt of your submission) Yes! Send me money-savings news and offers from h.h. gregg! Mail To: hhgregg Promo: 12-29323 P.O. Box 540061 El Paso TX 88554-0061 TERMS AND CONDITIONS: The Visa prepaid card is not redeemable for cash and may not be used for cash withdrawal at any cash-dispensing location. Each time you use the card the amount of the transaction will be deducted from the amount of your available balance. Terms and Conditions apply to the card. Subject to applicable law, a monthly maintenance fee of $3 (USD) applies, but is waived for the first six months after the card is issued. No additional fees will be assessed once the card balance reaches zero. The Visa prepaid card is non-transferable and non-refundable. Your card is issued by MetaBank pursuant to a license from Visa U.S.A. Inc. Cards can be used at any merchants that accept Visa debit cards. h.h gregg reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. Offer valid on purchase of specified products only. Submit this form along with a copy of sales receipt. Incomplete forms will be denied. Your request must be postmarked within thirty days of purchase date. h.h. gregg is not responsible for lost or misdirected mail. Limit one rebate per person, receipt, product, household, family or address. Duplicate submissions will not be accepted. Requests from P.O. Boxes not accepted. Offer limited to end-users only. Your rebate rights cannot be transferred, and this offer is void where taxed, restricted or prohibited by law. Valid in USA only. Keep copies of all materials submitted: originals will not be returned. Warning: Fraudulent submission could result in federal prosecution under mail fraud statues (Title 18, USC Sections 1341 &1342).

Your rebate will be mailed within 8 to 10 weeks. If you have not received your Rebate within 12 weeks, visit www.rebatetrack.com/quick/track/hhgregg or call 1-800-318-7972

Eligible Whirlpool Models DISHWASHERS

WFE520C0AW

WMH32517AS

WDF310PAAB

WFE540H0AB

WMH32517AT

WRF560SEYB

WDF310PAAS

WFE540H0AE

WMH32517AW

WRF560SEYM

WDF310PAAT

WFE540H0AH

WMH53520AB

WRF560SEYW

WDF310PAAW

WFE540H0AS

WMH53520AE

GI0FSAXVY

WDF510PAYB

WFE540H0AW

WMH53520AH

GI6FARXXB

WDF510PAYS

WFE710H0AE

WMH53520AS

GI6FARXXF

WDF510PAYW

WFE710H0AH

WMH53520AW

GI6FARXXQ

WDT710PAYB WDT710PAYE

WFE710H0AS WFI910H0AS WFE520C0AS

WDT710PAYH

GGE388LXB

WOD51EC7AB

WDT710PAYM

GGE388LXQ

WOS51EC0AB WOD93EC0AS

WDT710PAYW

GGE388LXS

WDF730PAYB WDF730PAYM WDF730PAYT

GY399LXUS

WDF730PAYW WDF775SAYB

WRF989SDAE DOUBLE WALL OVENS

WCC31430AW

BOTTOM FREEZER 2 DOOR REFRIGERATORS

GB2FHDXWQ GB2FHDXWS

W5CE3024XB G7CE3034XS

FREESTANDING GAS RANGES

WRF989SDAM

GB2FHDXWB COOKTOPS

SLIDE-IN ELECTRIC RANGES

FRENCH DOOR BOTTOM MOUNT REFRIGERATORS

SIDE BY SIDE REFRIGERATORS

W5CE3625AB

ED2KHAXVB

WDF775SAYM

WFG114SWB

G9CE3065XB

ED2KHAXVQ

WDF775SAYW

WFG114SWQ

G9CE3675XS

ED2KHAXVS

WDT790SAYB

WFG231LVQ

W3CG3014XS

ED2KHAXVT

WDT790SAYM

WFG231LVS

W5CG3024XS

GSF26C4EXB

WDT790SAYW

WFG510S0AB

G7CG3064XS

GSF26C4EXW

WDT910SAYM

WFG510S0AS

G7CG3665XS

GSF26C4EXY

WFG510S0AT FREESTANDING ELECTRIC RANGES

WFG510S0AW

GSS30C6EYB CANOPY WALL HOOD

GSS30C6EYW

WFC310S0AB

WFG540H0AB

GXU7130DXS

GSS30C6EYY

WFC310S0AS

WFG540H0AE

GXW6530DXS

WRS526SIAE

WFC310S0AT

WFG540H0AH

GXW6536DXS

WRS526SIAH

WFC310S0AW

WFG540H0AS

GXW7230DAS

WSF26C2EXB

WFE320M0AB

WFG540H0AW

GXW7336DXS

WSF26C2EXF

WFE320M0AS

WFG710H0AE

WFE320M0AW

WFG710H0AH

WFE330W0AB

WFG720H0AS

WFE330W0AS

WSF26C2EXW TOP MOUNT REFRIGERATORS

ED2KVEXVB

WRT311SFYT

ED2KVEXVQ

WRT138TFYB

ED5FVGXWS

MICROWAVE HOOD COMBINATIONS

WRT138TFYS

ED5KVEXVB

WFE510S0AB

WMH31017AB

WRT138TFYW

ED5KVEXVQ

WFE510S0AS

WMH31017AS

WRT351SFYB

GSC25C4EYY

WFE510S0AT

WMH31017AW

WRT351SFYM

GSC25C6EYY

WFE510S0AW

WMH32517AB

WRT351SFYW

WRS965CIAM

WFE330W0AW

WFE520C0AB

Eligible Maytag Models

Eligible KitchenAid Models

DISHWASHERS

DISHWASHERS

BUILT-IN MICROWAVE

MDB7749SAB

KUDC10FXSS

MDB7749SAM

KUDC10IXBL

MDB7749SAW

FREESTANDING ELECTRIC RANGES

KUDC10IXWH

KBHS109BSS

KUDE60HXSS

KHMC1857WSS

KUDS30IXBL

KHMS2040BSS

KUDS30IXBT

MER8674AS

KUDS30IXSS

MER8674AW

KUDS30IXWH

KEBS109BSS

KUDS35FXBL

KEBS207BSS

KUDS35FXSS

KEMS309BSS

MGR8674AB

KXW4336YSS

FRENCH DOOR BOTTOM MOUNT REFRIGERATORS KFIS29PBMS

WALL OVENS

KFXS25RYMS

SIDE BY SIDE REFRIGERATORS KSC24C8EYY

KUDS35FXWH

MGR8674AS MGR8674AW

KXW2330YSS KXW2536YSS

MICROWAVE HOOD COMBINATIONS

MER8674AB

FREESTANDING GAS RANGES

VENTILATION

WARMING DRAWER FREESTANDING ELECTRIC RANGES

KEWS105BSS

BUILT-IN BOTTOM MOUNT REFRIGERATORS KBFC42FTS

KERS306BSS MICROWAVE HOOD COMBINATIONS

KERS505XSS

MMV5208WB MMV5208WS MMV5208WW

ELECTRIC COOKTOPS KECC604BSS

SLIDE-IN ELEC RANGES

KECC607BSS

KESS907SSS

KECC662BSS

UNDERCOUNTER REFRIGERATOR KURS24RSSS

GAS COOKTOPS BUILT-IN ELECTRIC WALL OVEN MEW9630AS

COOKTOPS

FREESTANDING GAS RANGES

KFGS306VSS

KGRS306BSS

KGCC506RWW

KGRS505XSS

KGCU467VSS

KDRS505XSS

MEC7430WB MGC7430WS

*Please provide serial numbers below.

Serial #1

Serial #2

Serial #3

Serial #4

Attach legible photocopy of receipt to be eligible. Model numbers must be an exact match to claim form.