The Delsym Deal
*With Mail-In Rebate – up to $14.00 off
To receive your refund, please mail:
A completed rebate form (this form),
The original UPC code of the DELSYM® product purchased (cut UPC from package),
Enclose the original, dated cashier register receipt dated between 11/1/2014 and
3/31/2015
Indicate the product name and UPC code, with the purchase price circled (postmarked no later than 15 days after purchase) to:
The Delsym® Deal
PO Box 2635
Grand Rapids MN 55745-2635
*Offer valid for DELSYM® products purchased between November 1, 2014 and March 31, 2015. Offer is only available to legal residents of the 50 US states and District of Columbia. Void in RI, CT and where prohibited. Must return original cash register receipt indicating UPC for DELSYM® product purchased. Refund offer must be postmarked no later than April 15, 2015.
Please print clearly - proper delivery depends on a complete and correct address.
First Name:
Last Name:
Address (No P.O. Boxes):
City:
State:
Daytime Phone:
Email (optional):
Purchase Date:
Purchase Location:
UPC Code:
NY1292045.2
208412-10001
Zip Code:
In order to receive your refund on a DELSYM® product, you must complete the information above with your name, address, phone number and e-mail. Only one offer per household or address, and cannot be combined with any other Delsym rebate offer. Offer is only available to legal residents of the 50 US states and District of Columbia. To receive your refund, please provide your name and complete address on the form and send with your original cash register receipt dated between
November 1, 2014 and March 31, 2015. Show the purchase of a DELSYM® product with the UPC noted on the receipt. No other UPC will be honored. No copies of the cash register receipt will be accepted. All refund offers must be postmarked no later than April 15, 2015. Void where Prohibited. Please allow 8 to 10 weeks to receive your refund in the form of a check for the exact amount paid for the product,
To receive your refund, please mail:
A completed rebate form (this form),
The original UPC code of the DELSYM® product purchased (cut UPC from package),
Enclose the original, dated cashier register receipt dated between 11/1/2014 and
3/31/2015
Indicate the product name and UPC code, with the purchase price circled (postmarked no later than 15 days after purchase) to:
The Delsym® Deal
PO Box 2635
Grand Rapids MN 55745-2635
*Offer valid for DELSYM® products purchased between November 1, 2014 and March 31, 2015. Offer is only available to legal residents of the 50 US states and District of Columbia. Void in RI, CT and where prohibited. Must return original cash register receipt indicating UPC for DELSYM® product purchased. Refund offer must be postmarked no later than April 15, 2015.
Please print clearly - proper delivery depends on a complete and correct address.
First Name:
Last Name:
Address (No P.O. Boxes):
City:
State:
Daytime Phone:
Email (optional):
Purchase Date:
Purchase Location:
UPC Code:
NY1292045.2
208412-10001
Zip Code:
In order to receive your refund on a DELSYM® product, you must complete the information above with your name, address, phone number and e-mail. Only one offer per household or address, and cannot be combined with any other Delsym rebate offer. Offer is only available to legal residents of the 50 US states and District of Columbia. To receive your refund, please provide your name and complete address on the form and send with your original cash register receipt dated between
November 1, 2014 and March 31, 2015. Show the purchase of a DELSYM® product with the UPC noted on the receipt. No other UPC will be honored. No copies of the cash register receipt will be accepted. All refund offers must be postmarked no later than April 15, 2015. Void where Prohibited. Please allow 8 to 10 weeks to receive your refund in the form of a check for the exact amount paid for the product,