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Get back 10% When You Buy 3 or More Qualifying Frigidaire Gallery® Appliances via mail-in rebate for prepaid MasterCard® Card (up to $400) July 31 - September 10, 2016 Two ways to submit your claim. GO ONLINE TO SUBMIT YOUR CLAIM FOR PROCESSING IN ACCORDANCE WITH THE ONLINE INSTRUCTIONS www.frigidairepromotions.com COMPLETE BELOW ONLY IF YOU ARE NOT SUBMITTING ONLINE (may result in slower processing). LAST NAME ADDRESS STATE ZIP DEALER E-MAIL FIRST NAME CITY DAYTIME PHONE ( DATE PURCHASED ) · Mail completed claim form with legible photocopy of sales receipt dated between July 31 - September 10, 2016. · Envelope must be postmarked by October 10, 2016 and mailed to: Frigidaire Gallery® Bonus Days Offer, Program #EMAFR071601, P.O. Box 2100, Wayne, NJ 07474-2100 July 31 - September 10, 2016 Get back 10% When You Buy 3 or More Qualifying Frigidaire Gallery® Appliances via mail-in rebate for prepaid MasterCard® Card (up to $400) QUALIFYING MODELS Please indicate the qualifying models purchased, provide serial numbers, purchase price and record your total rebate amount. Purchase 3 or more qualifying appliances from the categories below to receive a 10% rebate of the purchase price, excluding tax, delivery and other non-product expenses. Only one appliance from each category may be applied to rebate offer. Refrigerators Top Mount FGHI2164QF FGHT2046QF FGTR2045QF FGHI1864QF FGHT1846QF FGTR1845QF French Door FGHN2866PF FGHB2866PF FGHG2366PF FGHF2366PF DGHF2360PF Side by Side FGHS2655PF FGHS2631PF FGHS2355PF FGHC2355PF FGHC2331PF DGUS2645LF All Refrigerator/ All Freezer* *If both All Refrigerator and All Freezer are purchased, it qualifies for two appliance purchases. FGRU19F6QF FGFU19F6QF Serial Number (Required to Qualify) Actual Purchase Price $ Serial Number (Required to Qualify) Ranges Freestanding Range FGIF3061NF DGGF3046RF FGEF3058RF DGEF3041KF FGGF3058RF FGEF306TPF FGEF3035RF FGEF302TPF FGGF3035RF FGGF304DPF FGGF3045RF FGGF3030PF Slide-In Range FGIS3065PF FGEF3030PF FGDS3065PF FGGF3060SF FGGS3065PF DGGF3045RF FGES3065PF Cooktops FGEC3045PS FGEC3645PS FGEC3067MS FGIC3067MB FGIC3667MB FGGC3045QS FGGC3645QS FGGC3047QS FGEC3067MB FGEF3045KB FGEC3645KB Serial Number (Required to Qualify) Actual Purchase Price $ Serial Number (Required to Qualify) Actual Purchase Price $ Actual Purchase Price $ Wall Ovens Serial Number (Required to Qualify) Actual Purchase Price $ Microwaves FGMV175QF FGMO205KF FGMV154CLF Serial Number (Required to Qualify) Freezers Convertible FGVU17F8QF FGVU21F8QF Serial Number (Required to Qualify) Actual Purchase Price $ Double Wall Oven Single Wall Oven FGET3065PF FGEW3065PF FGET2765PF FGEW2765PF FGEW276SPF Microwave Oven Combination FGMC3065PF FGMC2765PF Serial Number (Required to Qualify) Warming Drawer FGWD3065PF Serial Number (Required to Qualify) Actual Purchase Price $ Actual Purchase Price $ Actual Purchase Price $ Dishwashers FGID2474QF FGID2466QF FGBD2445NF DGBD2438PF FGBD2438PF FGBD2434PF FGID2477RF FGCD2444SF FGCD2444SA DGCD2444SA Serial Number (Required to Qualify) Yes, please use my completed rebate form to register my new product warranty. Total Rebate Amount Check if New Construction $ Actual Purchase Price $ PROGRAM (#EMAFR071601) DETAILS Please keep a copy of your sales slip and this claim for your records. Selected Frigidaire Gallery® appliances listed purchased between July 31 - September 10, 2016 are eligible. Limit one appliance from each category per customer, receipt, household or address. No substitution of other models is allowed. Claim MUST be postmarked no later than October 10, 2016. Online claims must be submitted by October 10, 2016. If you purchased your appliance(s) as part of a new home construction or remodeling project, you may submit your claim upon delivery of your appliances (postmarked by October 31, 2016), provided the receipt was originally generated and dated within the program period. MUST check new construction box above. All products must be purchased on the same invoice. Allow up to 8 weeks for delivery of MasterCard® Card. Cards are issued by Citibank, N.A. pursuant to a license from MasterCard International and managed by Citi® Prepaid Services. Cards will not have cash access and can be used anywhere MasterCard debit cards are accepted. MasterCard is a registered trademark of MasterCard International Incorporated. The MasterCard Card expires 6 months after issuance. This rebate cannot be combined with other Frigidaire® promotional rebate offers unless the offer specifically states that such offer may be combined with this particular rebate. Inquiries regarding the status of a claim may be made by calling 1-866-226-7076 or visiting www.frigidairepromotions.com. Some restrictions may apply. Offer applies at participating retail dealers only. Applicable to individual sales only. Multiple sales to apartments, condominiums, subdivisions, wholesale sales, etc. do not qualify. One claim per household. Photocopies will be accepted. Completed materials will not be returned. Owner warranty registration card if mailed with this claim form will be submitted to service company on your behalf. Void where prohibited, taxed or otherwise restricted by law. Offer good only in USA. Void in Puerto Rico. Requests with invalid or undeliverable mailing addresses, P.O. Box addresses (except those in North Dakota where P.O. box addresses are accepted) or addresses outside of the US will be denied. Not available to clubs, organizations, or groups. Frigidaire® is not responsible for lost, late, incomplete, damaged, misdirected or postage due requests. Late, noncompliant or duplicate submissions WILL NOT BE acknowledged, returned or honored. All submissions become property of Frigidaire® and will not be returned. Merchandise returned prior to rebate fulfillment will void rebate submissions. Rebate form may not be assigned, transferred or sold. By submitting this claim, you hereby accept the stated terms and conditions. Purchases made at Best Buy, Home Depot, Lowe's and Pacific Sales are not eligible for this rebate. See in-store sales associate for details. At participating retailers. frigidaire.com © 2016 Frigidaire® All rights reserved. FG16BDRF 07/16Adobe InDesign CS6 (Macintosh) Adobe PDF Library 10.0.1