Grubex manufacturer mail in rebate form

Here is a sample mail-in rebate form for GrubEx:

GrubEx Mail-In Rebate Form

Rebate Offer: Get a $5 rebate on the purchase of GrubEx, the powerful grub control product.

Eligibility:

• Must be a resident of the United States or Canada
• Must be 18 years or older
• Must purchase GrubEx from an authorized retailer
• Must submit this rebate form within 30 days of purchase

Rebate Information:

• Rebate amount: $5
• Rebate form must be postmarked within 30 days of purchase
• Rebate check will be mailed within 6-8 weeks of receipt of rebate form

How to Redeem:

1. Purchase GrubEx from an authorized retailer
2. Complete this rebate form and attach your receipt
3. Mail the rebate form and receipt to the address below

Rebate Form:

Customer Information:

• Name: _____
• Address: _____
• City: ___
• State/Province: ___
• Postal Code: ___
• Email: __

Product Information:

• Product name: GrubEx
• Product size: ___
• Purchase date: ___
• Purchase price: $_____

Receipt:

• Attach a copy of your receipt to this rebate form

Additional Information:

• I certify that I am the original purchaser of the GrubEx product and that I have not previously submitted a rebate claim for this product.
• I understand that the rebate check will be mailed to the address listed above and that it may take 6-8 weeks to receive.

Signature:

• I hereby certify that the information provided is true and accurate.

Date:

Mail-In Rebate Address:

GrubEx Rebate P.O. Box 5000 [City, State, ZIP]

Important:

• Allow 6-8 weeks for processing and mailing of rebate checks.
• Rebate checks will be mailed to the address listed on the rebate form.
• Rebate checks are non-transferable and non-refundable.
• Void where prohibited.

By submitting this rebate form, you acknowledge that you have read and agree to the terms and conditions of the rebate offer.