2/20/13

Staples.com

Staples Rebates - Print and Mail-In Form

Ste ps: Find Rebate Offers & Mail-In Forms > Search Results > Print and Mail-In Form

Rebate Processing Instructions To complete your rebate request, please follow the mailing instructions below. Note that each rebate must be sent in a separate envelope. Read each rebate form carefully for instructions regarding rebate and proof of purchase to ensure quick and accurate service. Want to receive your rebate sooner? Instead of mailing it, submit it online right here. We'll start processing your rebate immediately. It's easy! There's no clipping, no mailing, no hassles. Prefer to mail your rebate? No problem. Just fill out the form below. Note that each rebate must be sent in a separate envelope. Read each rebate form carefully for instructions regarding rebate and proof of purchase to ensure quick and accurate service. Click here if you do not have a printer. Rebate Envelope #1: Toshiba Satellite C855-S5350 Laptop Please Print the following information Please print this page.

C ustomer First Name

Last Name

Street Address

C ity

State

Zip

Phone

Email Address Promotion: Rebate Reward: Valid Dates: Postmark Date: Promotion Details: Purchase must be made between 02/03/13 and 06/29/13. Requests MUST be submitted online or postmarked within 60 days from date of purchase. To submit online go to www.stapleseasyrebates.com and follow the instructions. To mail rebate: STAPLES STORE PURC HASE: Send only the completed rebate redemption form printed from the cash register. You may also send the submission form printed from www.stapleseasyrebates.com, or the PDF submission form provided by a Staples store along with your rebate receipt. STAPLES.C OM/C ATALOG PURC HASE: Send the completed rebate redemption form with the ORIGINAL or a C OPY of a packing slip. Offer valid in U.S. only. Good for actual purchases by end users; excludes resellers and distributors of products and their families. You should receive your rebate within 4-6 weeks after claim is received. All rebates will be issued in US dollars, in the form of a Visa (R) prepaid card, C heck, or Staples Gift C ard. We are not responsible for lost or misdirected mail and illegible entries. Staples logo and product names are trademarks of Staples and their respective companies. Limit 5 rebates per name/address/household. For questions about your rebate call 1-877-266-6483. Fraudulent submissions could result in federal prosecution under the U.S. Mail Fraud Statutes (18 USC , Section 1341 & 1342). Keep a copy of your documents for future reference. The VISA PREPAID C ARD is not redeemable for cash and may not be used for cash withdrawal at any cash-dispensing location. Each time you use the card the amount of the transaction will be deducted from the amount of your available balance. Additional Terms and C onditions apply to the card. Please refer to the C ardholder Agreement insert provided with your prepaid card. Subject to applicable law, a monthly maintenance fee of $3 (USD) applies, but is waived for the first six months after the card is issued. No additional fees will be assessed once the card balance reaches zero. Your card is issued by J.P. Morgan C hase Bank, N.A. or MetaBank pursuant to a license from Visa U.S.A. Inc. C ards can be used at any merchants that accept Visa debit cards. Staples reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. STAPLES GIFT C ARDS are redeemable only for future purchases at Staples U.S. stores. For balance, or if you have questions about your Staples Gift C ard, call 1-888-609-6963 or visit staples.com/giftcards. Value can be added to this card at any Staples U.S. retail store. See Staples Gift C ard for complete terms and conditions. https://www.stapleseasyrebates.com/promocenter/staples/select_form.html 1/2 Get a $50 Visa (R) Prepaid C ard on Toshiba Laptops (SKUs 984635, 984633, 985042, 136822) at Staples $50.00 Rebate Visa Prepaid C ard 02-03-2013 through 06-29-2013 Purchase Date Plus 60 Days

2/20/13 Staples.com can be added to this card at any Staples U.S. retail store. See Staples Gift C ard for complete terms and conditions.

1. Additional Information: Purchase Toshiba Laptops (SKUs 984635, 984633, 985042,136822) at Staples stores, Staples.com or Staples catalog between 02/03/13 and 06/29/13, then submit online or mail it in to receive a Visa Prepaid card or select an alternative: __ Check or __ Staples Gift Card. Limit 5 rebates per name/address/household. 2. Mail this form and the proof of purchase (listed in the promotion details) to the following address: STAPLES ( Dept. 13-42941 ), PO Box 540036 EL PASO, TX 88554-0036 3. Please allow 4 - 6 weeks after we receive your submission to receive your rebate. Offers requiring activation and/or service agreements may take longer. Please refer to the Terms and C onditions portion of each particular offer for specific details.

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