LG APPLIANCE LAUNDRY BONUS DECEMBER 17-31, 2014 DELIVERY & INSTALLATION BONUS NECO ALLIANCE VISA® REWARD CARD Valid only on sales made from an authorized member of ADC, New England Group, DMI, or Intercounty 21155 DMI A.J.MADISON 12-13 10:40 Eligible models must be purchased from A.J.MADISON between Dec 17, 2014 and Dec 31, 2014 Rebate form must be completely filled out and appliance model(s) must be checked to qualify. Purchase Date: Invoice Number: Salesperson: PURCHASE A WASHER AND A QUALIFYING DRYER FROM THE SAME CATEGORY ON THE SAME INVOICE AND RECEIVE THE WASHER REBATE AND THE DRYER BONUS REBATE. ***LIMIT ONE LAUNDRY PAIR REBATE PER HOUSEHOLD***ALL PURCHASES MUST BE ON ONE SALES SLIP******* ❏ WM3050* ❏ WM3250* ❏ WM3370* ❏ WT1101* CATEGORY "A" WASHER ❏ WT1201* ❏ WT1701* ❏ WT4870* ❏ WT4970* $50 Serial# ____________________ ❏ WT5070* ❏ WT5480* ❏ WT5680* ❏ DLE1101* ❏ DLE3050* ❏ DLE4870* ❏ DLE4970* ❏ DLEX3250* ❏ DLEX3370* ❏ DLEX5170* ❏ DLEX5680* ❏ DLEX5680* ❏ DLEY1201* ❏ DLEY1701* ❏ DLG1102* ❏ DLG3050* ❏ DLG3051* ❏ DLG4871* ❏ DLG4971* CATEGORY "A" DRYER ❏ DLGX3251* ❏ DLGX3371* ❏ DLGX5171* ❏ DLGX5681* Serial# ____________________ ❏ DLGY1202* ❏ DLGY1702* PURCHASE A CATEGORY "A" WASHER AND A CATEGORY "A" DRYER AND RECEIVE A LAUNDRY BONUS OF $50. CATEGORY "B" WASHER - ❏ WM3570* $100 ❏ WM4270* ❏ WM8000* Serial# ____________________ ❏ DLEX3570* ❏ DLEX4270* ❏ DLEX8000* ❏ DLGX3571* ❏ DLGX4271* ❏ DLGX8001* CATEGORY "B" DRYER PURCHASE A CATEGORY "B" WASHER AND A CATEGORY "B" DRYER AND RECEIVE A LAUNDRY BONUS OF $100. Serial# ____________________ DO NOT STAPLE OR TAPE REBATE FORM TO SALES INVOICE. Print or place mailing label where you would like your NECO Alliance Visa Reward Card sent. Consumer Name: Mailing Address: Apt #: City: Phone Number: State: - - Zip: eMail: ❏ Please check here if you do not want to receive communications other than information concerning your rebate via eMail Rebate Redemption Instructions: to check the status of your rebate, please visit http://rebates.necoalliance.com 1. Mail the completed rebate certificate including model and serial numbers to the address below for eligible models purchased between December 17, 2014 and December 31, 2014. Purchase date is determined by the sales invoice date. Keep copies for your records. 2. Include a legible copy of your sales invoice showing model number, purchase date, and purchase price for each item claimed. 3. Envelope must be postmarked by January 31, 2015. 4. If you have NOT taken delivery of your purchases you must submit a rebate form and sales invoice by January 31, 2015 - then, when your purchases are delivered, you must call 1-866-298-1195 with your serial numbers to complete your request for your rebate. All information must be received by February 28, 2015. 5. Allow 16 weeks from the time we receive all required information for delivery of your NECO Alliance Visa Reward Card. The NECO Alliance Visa Reward Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. and may be used wherever Visa Debit cards are accepted. This rebate offer is limited to one rebate per model per household. Multiple sales to builders, apartments, condominiums, subdivisions, etc., do not qualify. DO NOT USE STAPLES, TAPE, PAPER CLIPS, when mailing your informaton. Void where prohibited, taxed or restricted by law. To check the status of your rebate please visit www.rebates. necoalliance.com or call 1-866-298-1195 between 9AM and 5PM eastern time, Monday thru Friday. 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. Your NECO Alliance Visa Reward Card is valid for purchases at U.S. locations for six months from the date that it is issued. MAIL TO: NECO ALLIANCE REBATES Dept #14-12175LG PO BOX 408 ELMSFORD, NY 10523
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