1. To submit online, please visit www.geappliancepromotions.com. 2. If you choose to mail in your rebate request: • Complete ALL information on the rebate form—including
PROMOTION CODE 36596 Receive a VISA® PREPAID CARD REBATE* on eligible appliances The Great AMERICAN KITCHEN Event Purchase any eligible GE CaféTM Series, GE ProfileTM Series or GE appliances from March 30, 2016 to April 26, 2016 at a participating authorized GE Appliances retail dealer and receive a $25 Visa® prepaid card from GE Appliances for each eligible appliance purchased with an extended service contract.* See details and a list of eligible models** below and on reverse. This rebate cannot be combined with any other GE rebate. Submit your claim online at GEAPPLIANCEPROMOTIONS.COM ONLINE SUBMISSIONS ARE EASY AND PROCESSED FASTER! You can also choose to enter your claim on your mobile device. HOW TO RECEIVE YOUR VISA PREPAID CARD REBATE 1. To submit online, please visit www.geappliancepromotions.com. 2. If you choose to mail in your rebate request: · Complete ALL information on the rebate form--including model number and serial number for each product. Incomplete forms will not be processed. Mark the models purchased on this form. · Include the retail invoice or sales slip (photocopy acceptable) which shows the model number, name of store where the appliances were purchased, date of purchase and purchase price. 3. Rebate submission must be submitted online or postmarked no later than May 25, 2016. Late submissions will not be accepted. 4. Mail no later than May 25, 2016 to: GE Appliance Claims GE Great American Kitchen Event Visa Prepaid Rebate #36596 P.O. Box 2100 Wayne, NJ 07474-2100 For mail submission, allow 8 to 10 weeks for delivery of rebate card. If not received after ten weeks, check online @ geappliancepromotions.com or call 1-866-319-9259. 5. Retain a copy of submitted materials for your records. *Via online or mail-in rebate ONLY COMPLETE THE MAIL-IN FORM BELOW IF YOU'RE UNABLE TO SUBMIT ONLINE. SUBMIT ONLINE AT GEAPPLIANCEPROMOTIONS.COM You are required to check an eligible model number and enter a serial number below and indicate model numbers of eligible models listed on this form.** If you have not taken delivery of your appliances and do not expect to receive prior to May 25, 2016, please forward your claim now without serial numbers. You will be notified via email once we process your claim that we need your serial numbers. When you have your serial numbers, call 1-866-319-9259 for the claim to be processed. All serial numbers must be submitted by July 19, 2016 for rebate to be valid. CALCULATE YOUR REBATE Receive $25 for each eligible appliance and extended service contract purchased. $25 x _____ (number purchased) = $_______ (total value of Visa prepaid card)* 1 MODEL NUMBER 2 MODEL NUMBER 3 MODEL NUMBER 4 MODEL NUMBER 5 MODEL NUMBER 6 MODEL NUMBER 7 MODEL NUMBER 8 MODEL NUMBER SERIAL NUMBER SERIAL NUMBER SERIAL NUMBER SERIAL NUMBER SERIAL NUMBER SERIAL NUMBER SERIAL NUMBER SERIAL NUMBER For help locating your model and serial numbers call the GE Answer Center® at 800.626.2000 or visit geappliancepromotions.com. MODEL NUMBER SERIAL NUMBER YOUR NAME ADDRESS CITY 10-DIGIT PHONE EMAIL ADDRESS STATE ZIP PLEASE BE ADVISED THAT AN EMAIL ADDRESS IS REQUIRED FOR CHECKING YOUR CLAIM STATUS ONLINE AND RECEIVING CLAIM STATUS NOTIFICATIONS. **ELIGIBLE MODELS. PLEASE MARK ELIGIBLE APPLIANCES PURCHASED FRENCH-DOOR REFRIGERATORS GFE28HMHES FREE-STANDING DOUBLE ELECTRIC DUAL-FUEL RANGE WALL OVENS P2B940SEJSS JK3500SFSS WARMING DRAWERS PJ7000SFSS DISHWASHERS GDF610PMJES GDF610PSJSS GFE28HSHSS GYE22KMHES GYE22KSHSS PFE28KMKES PFE28KSKSS PFE28RSHSS PFH28PSHSS PFS23KSHSS PNS20KSHSS PWE23KMDES PWE23KMKES PWE23KSDSS PWE23KSKSS PYE22KMKES PYE22KSKSS PYE22PSHSS SIDE-BY-SIDE REFRIGERATORS GSE25HMHES GSE25HSHSS GZS22DMJES GZS22DSJSS PSE25KGHBB PSE25KGHWW PSE25KSHSS PSS28KSHSS PZS22MMKES PZS22MSKSS PZS23KSESS PZS23KGEBB PZS23KGEWW PZS23KPEBV PZS23KPEWV PZS25KSESS PSB42YSHSS PSB42YSKSS PSB42YPHSV PSB48YSHSS PSB48YSKSS PSB48YPHSV WINE & BEVERAGE CENTERS PCR06WATSS PCR06BATSS ICE MAKERS UNC15NJII UCC15NJII DUAL-FUEL SLIDE-IN RANGES C2S985SETSS P2S920SEFSS SLIDE-IN GAS RANGES CGS985SETSS CGS990SETSS JGS750EEFSS JGS750SEFSS PGS920SEFSS PGS950EEFES PGS950SEFSS SLIDE-IN ELECTRIC RANGES CS980STSS JS750EFSS JS750SFSS PHS920SFSS PS920SFSS PS950EFES PS950SFSS FREE-STANDING GAS RANGES JGBS66EEKES JGBS66REKSS JGB660EEJES JGB660SEJSS JGB700EEJES JGB700SEJSS JGB860EEJES JGB860SEJSS PGB911DEJBB PGB911DEJWW PGB911EEJES PGB911SEJSS PGB911ZEJSS PGB930SEJSS PGB940SEJSS PGB940ZEJSS PGB960EEJES PGB960SEJSS PGB980ZEJSS FREE-STANDING ELECTRIC RANGES JB645EKES JB645RKSS JB655EKES JB655SKSS JB700EJES JB700SJSS JB750EJES JB750SJSS JB860EJES JB860SJSS PB911TJWW PB911DJBB PB911EJES PB911SJSS PB930SJSS PB960DJBB PB960TJWW PB960SJSS PB960EJES PB980SJSS PHB920EJES PHB920SJSS SINGLE ELECTRIC WALL OVENS JK3000SFSS JK5000SFSS JT3000EJES JT3000SFSS JT5000SFSS JT5000EJES PK7000DFBB PK7000DFWW PK7000SFSS PK7000EJES PT7050DFBB PT7050DFWW PT7050EHES PT7050SFSS PT9050DFBB PT9050SFSS PT925DNBB PT925SNSS JK5500SFSS JT3500EJES JT3500SFSS JT5500EJES JT5500SFSS PK7500DFBB PK7500DFWW PK7500EJES PK7500SFSS PT7550DFBB PT7550DFWW PT7550EHES PT7550SFSS PT9550DFBB PT9550SFSS MICRO/OVEN DOUBLE COMBINATIONS JK3800SHSS JT3800SHSS PT7800DHBB PT7800DHWW PT7800SHSS PT9800SHSS GAS RANGETOP CGU366SEHSS GAS COOKTOPS JGP329DETBB JGP329DETWW JGP329SETSS JGP940BEKBB JGP940SEKSS JGP940TEKWW JGP970BEKBB JGP970SEKSS JGP970TEKWW PGP943DETBB PGP943SETSS PGP953DETBB PGP953DETWW PGP953SETSS PGP959SETSS PGP966DETBB PGP966SETSS PGP976DETBB PGP976DETWW PGP976SETSS PGP986SETSS PGP9830DJBB PGP9830TJWW PGP9830SJSS ELECTRIC COOKTOPS JP3030DJBB JP3030SJSS JP5030DJBB JP5030SJSS PHP9030DJBB PHP9030SJSS PHP9036DJBB PHP9036SJSS PP7030DJBB PP7030SJSS PP7030EJES PP7036DJBB PP7036SJSS PP7036EJES PP9030DJBB PP9030SJSS PP9036DJBB PP9036SJSS PW9000SFSS GDT545PSJSS VENTILATION JVW5301SJSS JVW5301EJES JV936DSS JV966DSS PV970NSS PV976NSS PV977NSS PVB94DTBB PVB94STSS PVB98DTBB PVB98STSS PVW7301SJSS GDT580SMFES GDT580SSFSS GDT680SSHSS PDT720SSHSS PDT720SGHBB PDT720SGHWW PDT750SSFSS PDT750SMFES PDT760SSFSS PDT760SSJSS PDT760SIFII PDT760SIJII PDW1860NSS PVW7301EJES COMPACTORS PVW7361SJSS GCG1500RBB PVW7361EJES GCG1500RWW UVB30DKBB GCG1580RSS UVB30SKSS UVB36DKBB UVB36SKSS FRONT LOAD WASHERS GFWS2600FWW ADVANTIUM® OVENS GFWR2700HWW PSA9120SFSS GFWR2705HMC PSA9240SFSS GFWR4800FWW PSB9100DFBB GFWR4805FMC PSB9100DFWW GFWR4805FRR PSB9100SFSS PSB9120DFBB PSB9120DFWW PSB9120SFSS PSB9240SFSS FRONT LOAD DRYERS GFDS260EFWW GFDS260GFWW GFDR270EHWW OVER-THE-RANGE GFDR270GHWW MICROWAVES GFDR275EHMC CVM1790SSSS GFDR275GHMC JNM7196SFSS GFDR480EFWW JVM6175EFES GFDR480GFWW JVM6175SFSS GFDR485EFMC JVM7195EFES GFDR485EFRR JVM7195SFSS GFDR485GFMC PNM9196SFSS GFDR485GFRR PVM9005DJBB PVM9005DJWW PVM9005EJES PVM9005SJSS PVM9179DFBB PVM9179DFWW PVM9179EFES PVM9179SFSS TOP LOAD WASHERS GTW460ASJWW GTW485ASJWS GTW680BSJWS GTW860SPJMC GTW860SSJWS PVM9195DFBB PVM9195DFWW PVM9195SFSS PVM9215SFSS TOP LOAD DRYERS GTD42EASJWW GTD45EASJWS GTD65EBSJWS COUNTERTOP MICROWAVE OVENS PEB1590DMBB PEB1590DMWW PEB9159SFSS PEB7226DFBB GTD42GASJWW GTD45GASJWS GTD65GBSJWS GTD86ESPJMC GTD86ESSJWS GTD86GSPJMC GTD86GSSJWS PEB7226DFWW PEB7226EHES PEB7226SFSS UNITIZED WASHERS & DRYERS GUD24ESSJWW GUD24GSSJWW GUD27ESSJWW GUD27GSSJWW WATER HEATERS GEH50DFEJSR GEH80DFEJSR PP9830DJBB PP9830TJWW PP9830SJSS If you provide your email address, we will notify you via email when your rebate has been received. Did this rebate influence your purchase decision? Please check one: (optional) Yes No Where did you hear about this promotion? Please check one: (optional) TV Online Newspaper In Store Retailer Advertisement Friend or Family Email Social Media By submitting this rebate form, you are also registering your appliances with GE Appliances. GE Appliances takes your privacy seriously. All information you provide shall be held in strict accordance with GE Appliances' Privacy Policy (www.geappliances.com/privacy/privacy_policy.htm). MONTH DAY YEAR I represent that on 1 or more qualifying GE CaféTM Series, GE ProfileTM Series or select GE appliances with extended service contract(s) (see eligible models on this form) were purchased new for personal use, and not for resale. Rebate must be redeemed on appliances purchased only for personal use. Multiple sales to apartments, builders, condominiums, subdivisions and wholesalers do not qualify. Purchases from Lowe's are not eligible for this rebate promotion. Offer excludes "as-is" retailers. One Great American Kitchen Event Visa Prepaid Card rebate per household. Offer void where prohibited, taxed, or restricted by law. Not transferable or redeemable for cash. Fraudulent submission of form could result in federal prosecution for mail fraud under the U.S. Mail Fraud Statutes (18 USC Section 1341 and 1342). This form must be included with your request. Omission of sales receipt or any other required information will delay processing. For online submissions, expect 6 to 8 weeks for delivery of rebate card. For mail submission, expect 8 to 10 weeks. If not received after ten weeks, check online @ geappliancepromotions.com or call 1-866319-9259, MondayFriday: 9 AM9 PM EST; SaturdaySunday: 9 AM5 PM EST. Cards are issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. and managed by Citi Prepaid Services. Cards will not have cash access and can be used everywhere Visa® debit cards are accepted. This card is a Visa prepaid card. Each time you use the card the amount of the transaction will be deducted from the amount of your available balance. Terms and Conditions apply to the card. Subject to applicable law, a monthly maintenance fee of $3 (USD) applies, but is waived for the first six months after the card is issued. No additional fees will be assessed once the card balance reaches zero. Cards can be used at merchants that accept Visa debit cards. *Visa prepaid card is paid for by GE Appliances. I/we hereby understand and accept the above requirements for receipt of the Visa prepaid card rebate and I/we represent that all information provided on this document is accurate and not falsified. Your Signature__________________________________________________________________________________________ Date______________________ © 2016 GE Appliances Pub. 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