http://www.circuitcity.com/ssm/Smoke...oductDetail.do

INTERNET REDEMPTION FORM
Free leather iPod nano case
after mail-in rebate
PROGRAM NO. P0046
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Please completely fill out the form below and make a
copy for your records.
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QUALIFYING MODELS:
Mail-In Offer on purchase of:
SKE 2CS011101 Qty: 1 Rebate Amt: $19.99 OR
SKE 2CS011102 Qty: 1 Rebate Amt: $24.99
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Please see your sales associate regarding qualifying
models or for additional information.
Qualifying items must have been purchased between
04/02/06 and 04/25/06
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HOW TO SUBMIT FOR THIS OFFER:
Please send in the following items:
* This form in its entirety.
* A legible copy of the Circuit City sales receipt or confirmation email.
* A copy of the UPC barcodes from the product packaging.
* Please circle the qualified items and purchase
prices on your Circuit City sales receipt or confirmation email.
* See our website information below for details.
The above listed items must have been purchased during
the listed sales dates. Forms postmarked later than
05/25/06 are ineligible. By submitting this form you
certify that the above items are for personal
use only and not for resale. Allow 8 weeks from
postmark date for processing of your rebate or other
promotional offer. This offer is valid for customer
name on sales receipt only. Circuit City and its
associated companies are not responsible for lost or
misdirected mail. This form and sales receipt will not
be returned.
This offer is no longer valid if not fully redeemed
within 11 Months from the close of the redemption
period.
Offer void where prohibited or restricted by law.
Fraudulent submission of multiple requests may result in
prosecution under applicable law. Circuit City and its
associated companies reserve the right to audit any
claims, to request additional information regarding this
claim and to nullify any claims which cannot be
substantiated. Products for which rebate or promotional
offer is claimed may not be returned.
- Offer valid in United States of America only.
Limit 1 rebate(s) or other promotional offer(s)
per product type
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CUSTOMER INFORMATION:
P.O. Boxes cannot be accepted as a valid address.
Please verify name, address, and phone number below.
Name:_____________________________________________ ______
Address: _________________________ Apt#: ______________
City: ____________________ State: ___ Zip: ________
Home Phone: _______________
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MAIL THIS FORM IN ITS ENTIRETY TO:
Rebate Program#P0046
PO Box 540040
El Paso TX 88554-0040
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To track the real-time status of your claim, please
visit our website.
www.ccityrebates.com
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If you have questions about your offer, please call
1-877-224-8966
Business hours may vary.