$20
PC Connection, MacConnection or GovConnection
In order to receive your rebate you must purchase a qualifying product listed on this form. Offer valid between October 1, 2008 and December 31, 2008 through PC Connection, MacConnection or GovConnection. Additionally, the materials and information listed below are required prior to rebate payment. Failure to submit any of the following items will delay or prevent rebate payment.
ENCLOSE:1.A clean, clear copy of your proof of purchase(www.pcconnection.com/OrderTracking.htm) showing purchase of the qualifying product from
PC Connection, MacConnection or GovConnection.
Your proof of purchase must clearly indicate the purchase of the Printer and must be purchased at full retail price in order to qualify.
2.A copy of the UPC symbol from the product packaging (Be sure the numbers printed below the symbol are included).
3.This completed form.You must include all requested information (itemsRebate Center
Dept: H46344
P.O. Box 100495
White Bear Lake, MN
Envelope must be postmarked within 30 days of purchase date.
Name:____________________________________________________
Address:__________________________________________________
Apt. No:______________________(We will not deliver to a PO Box)City:______________________________________________________
State:__________________________ Zip code:__________________
Email:_____________________________________________________
Rebate Amount, Qualifying Purch. Price, Model, UPC & Sku:$20.00 Rebate - WorkForce 30 Color Inkjet Printer
Purchase Price: $69.99
Model: C11CA19201
UPC: 0 10343 86826 7
PCC Sku: 8899621
This offer is available on purchases of a qualifying product listed on this form from PC Connection, MacConnection or GovConnection. This form must accompany your request. Your proof of purchase must be dated between October 1, 2008 and December 31, 2008. The product must be purchased at full retail price in order to qualify. Requests for rebate must be postmarked within 30 days from purchase date. Limit one rebate per address, except where prohibited by law. All submissions become property of the Rebate Center and will not be returned. Please allow
**If you are submitting claims for other rebate programs, the claims MUST be mailed in separate envelopes and addressed to each unique rebate department code.
BEFORE YOU MAIL, DID YOU REMEMBER TO INCLUDE:Your proof of purchase. | A copy of the UPC from the product packaging. | This completed Form. |
