£30/€40 cashback when you buy the

Claim your cashback today!

Offer available on purchases made between 14th April 2014 and 30th June 2014. Simply complete this form* in
BLOCK CAPITALS and post it back to be received by 18th July 2014 to: FUJIFILM XQ1 cashback offer,
PO Box 3, Diss, Norfolk, IP98 1HH, UK with your ORIGINAL till receipt. We’ll send you your CASHBACK
within 28 days.
*All fields must be filled in to ensure this claim is valid.

TITLE (Mr/Mrs/Ms/Miss/Dr/Rev): FIRST NAME:

SURNAME:
ADDRESS:
POSTCODE: COUNTRY:
TELEPHONE NO:
EMAIL:

CAMERA SERIAL NUMBER: (It’s the 8 digit code on the bottom of the camera.)

STORE NAME:
STORE LOCATION:
DATE PURCHASED:

Please tick here to confirm that you have read and agree to the terms and conditions of the offer

Have you attached your ORIGINAL till receipt (or a printed copy of your order confirmation for internet purchases)?
Till receipt will be returned with your cashback cheque – receipt must have reference to camera model and
date purchased. Purchases must be made in one transaction between 14th April 2014 and Monday 30th
June 2014. For all enquiries relating to your CASHBACK offer claim form, please call 0845 3389005 or email
fujicashback@diss.net between 9am and 5pm, Mon-Fri.

Please tick here if you want to receive FUJIFILM communications via post
Please tick here if you want to receive FUJIFILM communications via email

Claimants must be resident in the UK or ROI. Visit www.fujicashback.co.uk for full terms and conditions.