Individual Rebate Sheet


Purchase and Rebate Info

My Tracking Code (unique)                                                      
Purchase
Info
Item  
Store  
Date purchased/received  
$ Paid (before rebate)  
Rebate
Info
Rebate Amount  
Valid purchase dates  
Last date to mail in  
Expected return
(E.g. 6-8 weeks, or 30 days)
 
Mailing to  
Contact Phone  
Email  
Web  


Mail-In and Copy Checklist

Item Mail In My Copy 1
Completed Form
UPC (copy ok?)
Receipt (copy ok?)
Packing Slip
Addressed Envelope
Stamp
Other
Copy of Ad n/a
Name used on form 2  
Date mailed in  
Mailed before "Last date
to mail in"?
 
Due (Latest date expected)  


Contact Notes

 
 
 
 
 

Notes:


2/26/06 Rebate Helper 1.0 at anythingpeaceful.org/rebatehelper by Tom Parker.