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MAILING REBATE FORM Name: Part No: (found on box label) (please print your name) Street Address: (physical addresses only no P. O. boxes) City: State: Zip: Email Address: Phone: Place of Purchase:
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You must include original documents or information that has not been tampered with or altered.
Any individual or entity who is mandated to submit the specific document or form must include original documents.
When filling out the form, ensure to include the original information requested and avoid submitting any photocopies or duplicates.
The purpose of including original documents is to provide accurate and authentic information to the concerned authorities.
All relevant and required information as per the guidelines or instructions provided must be reported on the original document.
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