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PUREX® CRYSTALS SCENTSPLASH FABRIC BOOSTER
TM
TRY FOR FREE OFFER
Receive a rebate on your
Purex® Crystals ScentSplash
fabric booster purchase
TM
Simply complete this form and mail it with your
original store identified receipt to:
PUREX® CRYSTALS SCENTSPLASH
FABRIC BOOSTER – TRY FOR FREE OFFER
Dept #: DH15-1908
PO Box 472
TM
Scottsdale, AZ 85252-0472
Customer Information:
Rebate Instructions:
First Name: _________________ Last Name: __________________
To receive a rebate check up to $5.00, mail the
Address: (No P.O. Boxes please) __________________________________
Address Line 2: __________________________________________
City: __________________ State: __________ Zip: ____________
Email: __________________________________________________
Phone Number: _________________________________________
YES, please send me future coupons and offers from The Dial Corporation.
following two items to the address provided
by
1/31/16:
1) The original, store identified cash register
receipt dated 5/15/15 to 12/31/15 with qualifying
purchase and price circled
2) This completed official rebate form
Receive: A rebate check for up to $5.00 by mail.
Allow 6-8 weeks for delivery of your check.
TM
1). Is this your first purchase of Purex® Crystals ScentSplash fabric booster?
Yes
No
2). What similar products have you tried in the past? ________________________________________________________________
3). What interested you to buy? ___________________________________________________________________________________
In the area below, please write the 12-digit UPC bar code
number from the product package for your claim to be valid:
0 - 24200 -__ __ __ __ __ - __
Terms and Conditions: Consumer is responsible for sales tax, only the purchase price will be refunded up to $5.00 for one Purex® Crystals
ScentSplashTM fabric booster product. If coupon is used, amount of the coupon will be deducted from the purchase price and the actual price paid before
taxes will be refunded. Requests must be postmarked by January 31, 2016. Void where taxed, restricted or prohibited. PO boxes will not be paid except in
North Dakota. Allow six to eight weeks after mailing for delivery of your check. Limit one offer per envelope and one rebate per product/name/household/
address. The Dial Corporation, A Henkel Company reserves the right to confirm identification. Fraudulent submissions could result in federal prosecution
under US Mail fraud statutes (18 USC Sections 1341 and 1342).
© 2015 The Dial Corporation, A Henkel Company
To check the status of your rebate, please visit www.rapid-rebates.com or call 1-800-619-4703