Tracking Number: 8388821718171317
Print and Sign Your Rebate Form
Mail Rebate To:
(must match billing address on invoice or packing slip)
Randolph Lucas
309 W MAIN ST
BENSON, NC 27504
Randy@LucasCo.info
Offer Code: TD-8587
Item: (Qty: 1) Seiki SC402GS 40in 120Hz LCD HDTV
Offer Maximum: 1 claim(s) per household
Starts: 02 / 24 / 2013
Expires: 03 / 02 / 2013
Must be postmarked within: 30 Days of purchase
Reseller: TigerDirect.com Retail Outlets
Rebate Amount: $50.00
The American Express ® Reward Card : $50.00
I have read and agree to the terms of the rebate as described on the www.4myrebate.com website.
Signature: __________________________________________________     Date:________________
YOU MUST SIGN AND MAIL IN THIS FORM AND THE DOCUMENTATION REQUIRED TO RECEIVE YOUR REBATE
Mail In Rebate Form
Mailing Instructions:    

1. Print this form
Please print and mail this form to us.

2. Enclose all documents
Attach all the required proof of purchase
documentation to this rebate form and place everything in a mailing envelope.

3. Mail it
Affix the label displayed below to your envelope. Envelopes without a proper label may not be delivered and processed.

4. This Submission Requires (please be sure to include all necessary documentation):

Signed Rebate Form
Original UPC Barcode Label
Copy of Receipt/Invoice/Order Confirmation

5. Confirmation
A confirmation email that includes your tracking number for this rebate has been sent to the email address you provided. You will receive additional updates as your rebate status changes. Please allow 1 to 2 weeks after mailing your rebate application to receive an update to your status.
Please locate barcode label on your product (proof of purchase) similar to the one below and affix here.
SAMPLE IMAGE, Not the actual size
IMPORTANT - Envelopes without a proper label may not be delivered and processed.
Rebate Processing
Offer #: TD-8587
P.O. Box 129331
San Diego, CA 92112-9331