REBATE FORM

Please provide all information requested, then click Print This Page.
Name:
Address 1:
Address 2:
City:
State:	Zip Code:
E-mail Address:
Telephone:
Novelty Telephone Purchased:
Date Purchased:
Comments / Suggestions:
Terms: Only one rebate per item purchased.  Reproductions of Rebate Form or UPC’s are not valid.  Multiple requests will not be honored.