Verizon Cash Back - 2 Year Offer - Mail-In Rebate Form

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Verizon Cash Back – 2 Year Offer
Mail-in Rebate Form
To qualify for the Mail in Rebate please complete the following:
1. Purchase and activate a qualified Verizon Wireless device with a New 2 Year Agreement or Qualified 2 Year
Upgrade in a Costco Warehouse or on .
$250 – Galaxy S4 Mini
2. Purchase and Activation must be made between the dates of 2/1/16 – 2/29/16.
3. Verizon Wireless service must be active at time of redemption.
4. Complete this certificate and mail along with:
 A photocopy of your Costco Receipt or packing slip
 A copy of the page(s) of the Verizon agreement that includes the wireless number and
agreement
Wireless Advocates
ATTN: VZW Cash Back Offer c/o Stuart Lee Rebates
PO Box 80001
Lynnwood, WA 98036 – 0015
5. Keep copies of all submitted items for your records. Submitted items will not be returned.
(PLEASE PRINT CLEARLY)
Name______________________________________________________________________________
Address____________________________________________________________________________
City___________________________________________ State___________ Zip Code_____________
Number of Phones Activated________________________ Item #/Name
Wireless Number______________________________ Activation Date_________________________
If you qualify for this rebate, your rebate check will be mailed to the address provided above approximately 12-14
weeks after Stuart Lee has received your rebate request.
Other terms and conditions: Offer valid on qualified Verizon Wireless device purchased 2/1/16 – 2/29/16. Offer
valid on New 2 Year Agreements and 2 Year Qualified Upgrades. Rebate is only valid if handset is purchased in a
Costco Warehouse or online at . All rebate forms must be postmarked no later than the 30th day from
the purchase date on receipt. Verizon service must be active at time of redemption to qualify for rebate. Not
responsible for lost, late or misdirected mail. Please do not send certified mail. Certified mail will not be accepted.
See for rebate tracking. Shipments cannot be made to PO BOXES.
Limit One (1) rebate per qualified Verizon Wireless device purchased on promotion. Limit Five (5) rebates per
customer

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