( 3 0 3 ) 2 9 2 - 4 4 0 0 / w w w. k i t c h e n s o f c o l o r a d o . c o m / i n f o @ k i t c h e n s o f c o l o r a d o .

c o m

Mail-In Dishwasher
Rebate Certificate*
January 1 - December 31, 2010

IN ORDER TO RECEIVE YOUR $100 REBATE

1. Please check the box below, next to the offer you qualify for.

q D5122XXL q D5223XXL
2. Fill in serial number and article number.

Serial Number: q q q q q q q q q q q q Article Number: q q q q q q q q q

The serial number (12 digits) and the article number (9 digits) are located on the product label, on the inside of the
dishwasher door. **Failure to correctly complete this will delay processing.**

3. Valid purchase dates: 01/01/10 - 12/31/10

This rebate offer is limited to one rebate per certificate on models D5122XXL and D5223XXL purchased from
an authorized retailer from January 1, 2010 through December 31, 2010. LATE SUBMISSIONS WILL NOT BE
ACCEPTED! This certificate must accompany your request.

4. Attach copy of sales receipt or invoice, verifying purchase and delivery, from an authorized
dealer. (Dealer quotes not valid)
Omission of sales receipt or any other information will delay processing. Offer valid for retail purchases,
end-users only. Cannot be combined with any other offer.

5. Please provide contact information.

q qqqqqqqqqqq
FIRST NAME
q qqqqqqqqqqqqqq
LAST NAME

q q q q q q q q q q q q q q q q q q q q qAPT.q# q q q
STREET ADDRESS

q
CITY
qqqqqqqqqqqqqqq q q ZIP
STATE
qqqqq
q qqqqqqqqq
HOME PHONE #
DATE PURCHASED: q q q q q q
M / D /Y
q qqqqqqqqqqqqq
AUTHORIZED DEALER

q qqqqqqqqqqqqq
DISTRIBUTOR

q qqqqqqqqqqqqqqqqqqqqqqqqqqq
E-MAIL ADDRESS

6. Complete, sign and date this form.

Customer Signature: ____________________________________ Date: ________________

I hereby understand and accept the above requirements of this rebate. Check must be cashed within 60 days of date of
check. ** Rebate(s) may not be available in all markets.**

7. Mail-in the certificate. ASKO Appliances, Inc. Dishwasher Rebate

Must be postmarked no later than January 31, 2011. PO BOX 940609
Plano, TX 75094-0609
*Rebates may not be available in all markets.

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