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REBATE CLAIM FORM

PLEASE PRINT
1. Enter serial number next to the corresponding model purchases.
MODEL 1075BEV 1175BEV 1175WC CLR2160 SERIAL NUMBER REBATE $150 $150 $150 $200

2. Complete your contact information.

NAME_______________________________________________________________ ADDRESS____________________________________________________________ CITY_____________________________________STATE________ZIP____________ PHONE_______________________EMAIL___________________________________

3. Mail this claim form along with a copy of dealer invoice to:

Kimball Distributing Attn: U-Line Rebate 2233 South 300 East Salt Lake City, UT, 84115

Offer Details: Consumer must provide a copy of the original dealer invoice dated between April 1, 2013 and October 31, 2013. Consumer must take delivery between April 1, 2013 and November 30, 2013. Claim forms must be postmarked on or before November 30, 2013 to be valid. Once claim form is received and validated, Kimball Distributing will issue a rebate check and mail to the address on the form. Please allow 6 to 8 weeks for receipt of your rebate. This promotion cannot be combined with any other promotions or programs offered by U-Line or Kimball Distributing. Offer valid through participating dealers in Kimball Distribution area only. (Utah, Colorado, Wyoming, So. Idaho)

Kimball Distributing 2233 South 300 East, Salt Lake City, UT, 84115 1-888-546-7984

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