Grand Appliance and TV Grand Appliance & TV Location ID #013930001 Up to $60 Mail-In Rebate With the purchase of a qualifying Maytag Top Load Laundry Pair Washer and Matching dryer from the list below at Grand Appliance between August 20, 2014 and September 7, 2014 REBATE TERMS & CONDITIONS: 4. PLEASE LIST ELIGIBLE MODEL NUMBER(S), SERIAL 1. TO APPLY FOR YOUR REBATE, COMPLETE ALL SECTIONS. Mail this completed redemption form with a dated copy of your invoice/receipt to the address below: MAIL TO: Grand Appliance and TV – Maytag Offer Code: GA0814001 P.O. Box 421328 Del Rio, TX 78842-1328 INFORMATION MUST BE COMPLETED TO QUALIFY. ITEM MODEL NUMBER SERIAL NUMBER ENVELOPES MUST BE POSTMARKED BY October 7, 2014 Allow 12 weeks from the time we receive all required information for the delivery of your rebate check. Rebate valued at no more than $60. INCLUDE A COPY OF THE STORE RECEIPT SHOWING THE AMOUNT PAID AND MODEL(S) PURCHASED. Please check here if you want to receive communications other than information concerning your rebate via e-mail. Washer $ Dryer $ PURCHASED TO QUALIFY. MODEL MUST BE CIRCLED TO QUALIFY. $30 Washer Rebate MVWC425BW $30 Dryer Rebate 2. TO BE COMPLETED BY CONSUMER: MEDC400BW MGDC400BW Name: Address: City: Zip Code: State: Phone: ( ) E-mail Address: Purchase Date: 3. TO BE COMPLETED BY STORE: Purchase Invoice #: Salesperson Name: LEGAL TERMS & CONDITIONS: May not be combined with other rebates. Multiple sales to apartments, condominiums, subdivisions, wholesale sales, etc. do not qualify. Void where prohibited, taxed, or restricted by law. Prior Sales Do Not Qualify! Please complete all fields requesting information. Missing, incomplete or incorrect information may delay processing and may void offer. The consumer is solely responsible for lost, damaged, or misdirected mail. Unless expressly prohibited by law, payee authorizes reasonable dormancy fees deducted if check not cashed within 180 days. If you do not receive your rebate after 12 weeks, please visit www.inmarrebates.com or call (866) 9732970 Monday through Friday 8:30 a.m. – 4:30 p.m. EST. v.1, 8/27/2014 PURCHASE PRICE 5. PLEASE CIRCLE BELOW THE MODEL NUMBER Invoice/receipt must show the following information if applicable: qualifying model(s), item(s) purchased, purchase price(s) and purchase date. NUMBER(S), AND PURCHASE PRICE(S) IN THE BOXES BELOW.