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From May 16, 2014 to May 22, 2014 2. Limit 1Rebate per Customer. 3. Request must be postmarked by May 29 , 2014 4. Fill out form completely. Incomplete forms will not be accepted. 5. Mail this form with a photocopy of sales receipt and original UPC code from product package to: : F.C. S. Inc. Rebate Department: AS-05 (052914) 30928 San Clemente St., Hayward CA 94544 THIS REQUEST MUST BE POSTMARKED BY 05-29-2014 Name: Address:.

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