At&t Rebate Redemption Form printable pdf download

AT&T Rebate Redemption Form

*This is not a mail‐in rebate form

This form will help you redeem the following offer:

• AT&T $250 Costco Cash Card

Offer Requirements:



Activation Type: FINANCED (NEW)



Device Purchased: SAMSUNG GS7 EDGE (ALL COLORS)

Promotion Dates: 11/9/2016 – 11/11/2016



A00011

Promo Code:



This offer cannot be combined with any other promotion

Eligibility:

*Kiosk fills in phone # and kiosk # (example: Issaquah #110)

Kiosk #

Activated Permanent Phone #

How to Redeem Your Offer Online:

1. Visit

2. Click “Submit a Rebate” located at the top of the page.

3. Fill out the form by entering the following then clicking “Send”:

First and Last Name

b. Complete Address

Email Address

d. Purchase Date (example: mm/dd/yy)

e. Permanent Wireless Number

•

Do not use a temporary number.

•

If you are submitting for a tablet, you need to use the wireless number associated with the tablet.

Kiosk Number

Wireless Carrier

h. Promo Code (as shown above)

•

One code per activated permanent phone number. If there are three phones you should have 3 authorization

forms.

Control # (as shown in the upper right corner of this document)

How to Check Your Rebate Status:

Check your rebate status 4 weeks after you submit your rebate and receive your Confirmation Number by visiting

Click “Next” under Check Rebate Status on the Home Page.

Fill out one of the search options by entering one of the following combinations and clicking “Search”:

a. Zip code and phone number

b. Zip code and serial number

Zip code and confirmation number

For any questions regarding your rebate submission, please use the “Contact Us” button on

Note: For all approved rebates, please allow up to 14 weeks processing time to receive your Costco Cash Card.

________________________________

________________________________________________________________________

Customer Signature

Date

If you qualify for this rebate, your Costco Cash Card will be mailed to the address you provided during rebate redemption up to 14 weeks after submission. Other terms and

conditions: Offer valid on any device listed above purchased between promotion dates above. Rebate is only valid if handset is purchased at a Costco Warehouse or on

. All submissions must be redeemed online no later than the 30th day from the date you signed your qualifying service agreement. Carrier service must be active

at time of redemption to qualify. Cash Cards cannot be delivered to PO boxes. Return of qualifying device will result in forfeiture of Costco Cash Card mail‐in offer.

At&t Rebate Redemption Form

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