Submit your claim by mail for standardprocessing

Fill in your contact information to the right1.Fill in your model and serial information on the followingpage(s)

2.

Mail all pages of the rebate form and a copy of your salesinvoice to: NECO REBATES, Promo # 1512082FR, POBox 2100, Wayne NJ 07474

3.

Purchase date is determined by the sales invoice date, foreligible models purchases between 12/1/2015 and12/31/2015

4.

Envelope must be postmarked by 1/31/20165.Allow 16 weeks from the time we receive all requiredinformation for delivery of your NECO Alliance VisaReward Card

6.

To check the status of your rebate, please visitwww.necorebates.com

7.

FRIGIDAIRE PROFESSIONAL REBATE

ALL PRODUCTS MUST BE ON ONE INVOICE.FOR PURCHASES OF QUALIFYING MODELS BETWEEN DECEMBER 1 - DECEMBER 31, 2015

REBATE ISSUED VIA NECO ALLIANCE VISA® REWARD CARD

 Valid only on sales made from an authorized member of   ADC, New England Group, DMI, or Intercounty

Submit your claim online for faster processing

Visit www.necorebates.com1.Enter the promotion code as shown on this rebate form, and select “New Claim Entry”2.After you have completed your claim, please write down your session number for reference3.To check the status of your rebate, please return to www.necorebates.com4.

Contact information

FirstName: ______________________________________________________________________

LastName: ______________________________________________________________________

Address: _________________________________________________________________

City: ____________________________________________________________________

State: ___________________ ZIP: ______________________________________________

Phone: ___________________________________________________________________

Email: __________________________________________________________________

DatePurchased: _________________________________________________________

InvoiceNumber: _________________________________________________________

Terms & Conditions:The NECO Alliance Visa Reward Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. and may be used wherever Visa Debit cards areaccepted.  This rebate offer is limited to one rebate per model per household. This rebate cannot be combined with any other NECO rebate offer. Multiple sales to builders, apartments,condominiums, subdivisions, etc., do not qualify. DO NOT USE STAPLES, TAPE, PAPER CLIPS, when mailing your information. Void where prohibited, taxed or restricted by law. Missingor incomplete information will delay the processing of your rebate.  The consumer is responsible for the appropriate sales tax and is solely responsible for lost, mutilated, or misdirectedmail. By submitting this claim you hereby accept the above stated terms and conditions. Fraudulent submissions may result in federal prosecution.  If you are unable to take delivery by thecut-off date, please make sure your claim has been entered on-line or mailed before the deadline.  This will ensure your claim has been received during the program period.   Kindly makesure an email address has been provided so that we are able to send you an automatic email  message of any missing information. If you will NOT be taking delivery by the cut-off date of01/31/2016, please give us a call at 855-359-7131.  Your NECO Alliance Visa Reward Card is valid for purchases at U.S. locations for six months from the date that it is issued.

19 GLENNIE STREETWORCESTER, MA01605 Program code 1512082FR Page 1 of 2

RefrigeratorModel Serial Model Serial

FPBC2277RF - $200 ___________________________ FPBG2777RF - $200 ___________________________

FPBS2777RF - $200 ___________________________ FPFU19F8RF - $100 ___________________________

FPRU19F8RF - $100 ___________________________

RangeModel Serial Model Serial

FPEF3077QF - $200 ___________________________ FPGF3077QF - $200 ___________________________

FPEH3077RF - $200 ___________________________ FPGH3077RF - $200 ___________________________

Wall OvenModel Serial Model Serial

FPET3077RF - $200 ___________________________ FPEW3077RF - $200 ___________________________

OTRModel Serial

FPBM3077RF - $50 ___________________________

DishwasherModel Serial

FPID2497RF - $50 ___________________________

19 GLENNIE STREETWORCESTER, MA01605 Program code 1512082FR Page 2 of 2

For complete promotion Terms & Conditions, please refer to Page 1