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Or mail in to the address listed on this form. Submissions must be submitted/postmarked within 30 days of the purchase date shown on your receipt. Complete the required information below and provide a detailed purchase receipt with the qualifying products and the purchase prices clearly shown. ALL QUALIFYING REBATES WILL BE PAID VIA A PREPAID VISA CARD. Cards are issued by Bank of America, N.A. pursuant to a license from Visa Inc. These cards are not credit cards and expire six (6) months f.

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