MANUFACTURER’S REBATE EXPIRES 12/31/13

To receive your rebate by mail: 1. Cut out original UPC code from a package of Colace® Capsules 10s/30s/60s or Peri-Colace® Tablets 10s/30s/60s. 2. Include original cash register receipt dated from January 1, 2013 through December 31, 2013 with the purchase price paid and date circled. Retailer name must be printed on the receipt for verification. 3. Send this original completed mail-in Certificate to:

Colace® Capsules or Peri-Colace® Tablets Rebate, P.O. Box 1592, Dept. # 223, West Caldwell, NJ 07007-1592

NAME (PLEASE PRINT)__________________________________________________________________________

STREET_______________________________________________________________________________________

CITY____________________________________________________________ STATE_______ ZIP______________

STORE NAME___________________________________________________________________________________

On any size Colace® orPeri-Colace® Product

Please allow at least twelve weeks for delivery. Void where prohibited, taxed or restricted by law. Not valid if mechanically reproduced. Limited one per person or household. Your refund rights may not be assigned or transferred. Rebate not valid for purchases paid for or reimbursed in whole or in part by any federal or state

programs or insurer. Not to be combined with any other offer.

Please read full product label before use.

SAVE 007$

SAVE ON COLACE® & PERI-COLACE® PRODUCTS

UP TO