7/31/2019 HP Inkjet Mail-In Rebate 7/01/2012 - 9/30/2012

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MUST PRINT CLEARLY IN CAPITAL LETTERSName:

Title:

Company Name:

Address:

City:

State: Zip code:

E-mail (or notifcation):

Phone:

The data received by HP will only be used to confrm PROOF OFELIGIBILITY. HP holds such inormation in accordance with HPs privapolicies (See http://welcome.hp.com/country/us/en/privacy.html).

SOURCE CODE:

Check your rebate status at:https://h30172.www3.hp.com/Rebate/Status.asp

REQUESTS MUST BE POSTMARKED WITHIN 45 DAYSPURCHASE. Please complete a separate claim form foevery invoice submitted.

HP Ink - $100 for $20 Kohls Gift CardOffer # L137P.O. Box: 753840El Paso, TX 88575-3840

Receive: Your $20 Kohls Git Card as specifed. Allow 8 10 wor processing. I terms and conditions are not met, rebate will be sent. Claims postmarked or received ater applicable dates incomplete or illegible submissions will be returned as ineligibleis not responsible or any claims lost, damaged or delayed in trRebate will not be reissued.

General terms and conditions: The $20 Kohls Git Card oer isgood on purchases o $100 in eligible Original HP ink cartridgmade while on promotion rom July 1, 2012 September 30, 2Products purchased beore or ater these dates are not eligible this oer. Oer is not valid or reurbished or demo HP productPurchase date is determined by invoice or receipt date. HP promay not be returned or reund once the mail-in coupon and UP

code have been submitted. Request must be postmarked within45 days o purchase date. Offer may not be combined with othOriginal HP Inkjet print cartridge offers. Oer is limited to ten ($20 Kohls Git Cards per qualiying end-user customer ship-toaddress. Keep copies o materials submitted; originals become property and will not be returned. HP reserves the right to requadditional inormation regarding this claim. False inormationdisqualifes this claim, making it subject to review under U.S. PoRegulations. Violators may be prosecuted. Oer is limited to pron hand and no substitutions with other products are eligible. Opurchases made by an end-user customer or a commercial busirom an authorized HP reseller in the United States are valid.Purchases by HP resellers and internal HP orders are ineligible.Oer void where prohibited, taxed or restricted by law. I you haany questions regarding this oer, please visit https://h30172.whp.com/Rebate/Status.asp or call the HP and Compaq Rebate C

at 1-888-385-5410. HP and HP logo are trademarks o HewletPackard Development Company, L.P.

Kohls Git Cards are accepted at over 1,100 Kohls storesnationwide and online at Kohls.com. Kohls Git Cards have noservice ees and no expiration dates. Terms and conditions appKohls is not a sponsor o this promotion and is not afliated wiprogram. Kohls and Kohls brand names are t rademarks o KoIllinois, Inc.

hank you for your business!

Copyright 2012 Hewlett-Packard Development Company. L.P.he inormation contained herein is subject to change without notice.

Mail-in offer checklist

o qualiy or this oer, you must include:

qThis completed mail-in coupon orm

qOriginal or copy o invoice(s), receipt(s) orpacking list(s) or all qualiying products,dated between July 1 September 30, 2012with the purchase price(s) circled

qOriginal UPC label rom each qualiyingproduct box (one rom each purchasedproduct)

Please indicate which qualifying productsorrespond with your purchase

ist products here (e.g., CC606FN#140)

Where did you purchase your products?

What is your company site size?

q 19 q 1099 q100499q 500999 q1,0004,999q 5,0009,999 q 10,000 or moreDid you purchase your supplies because of thispromotion?

q Yes

q Noq Planning to purchase anyway

Did you choose HP over another manufacturerbecause of this promotion?q Yesq Noq I yes, which other manuacturer?

Please check your type of business:

qAccounting qBankingq Communications qComputer productsq Education qGovernmentq Healthcare q Hospitalityq Insurance qLegalq Manuacturing qMarketingq

Personal (or home ofce)q Printing and publishingq Real estate qRetailq Transportation qUtilitiesq Other (please speciy)

How did you learn about this promotion?

q HP authorized resellerq Dealer emailq Dealer websiteq Faxq Monthly catalog or yerq Telemarketingq

Tradeshowq Other (please speciy)

eceive a $20 Kohls Git Card with the purchase of $100 in eligible Original HP inkartridges at the same time, on the same invoice during the promotion period.100 requirement does not include tax.

Please recycle your cartridges.Visitwww.hp.com/recycle ormore inormation.

Receive a $20 Kohls Git Card romHP with the purchase o $100 in eligibleOriginal HP ink cartridges at the sametime, on the same invoice.

Oer valid: 07/01/12 09/30/12

The UPC label is located on the back ofyour HP box and is a 12-digit number.

The label shown is an example.SA

MPLE

A

7/31/2019 HP Inkjet Mail-In Rebate 7/01/2012 - 9/30/2012

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NATIONAL PROMOTION PROGRAM ELIGIBLE SKUS

Offer:Receive a $20 Kohls Git Card with the purchase of $100 in eligible

Original HP ink cartridges at the same time, on the same invoice during the

romotion period.

rogram #L137 (Effective July 1 September 30, 2012)

ote: HP reserves the right to modiy or cancel marketing programs upon notice to resellers.

Copyright 2012 Hewlett-Packard Development Company. L.P. The inormation contained herein is subject to change without notice.

ingle SKUs

1626A

1629A

1633M

1641A

1645A#140

1649A4804A

4805A

4806A

4814A

4815A

4816A

4817A

4836A

4837A

4838A

4841A

4842A

4843A

4844A

4902AN#140

4903AN#140

4904AN#140

4905AN#140

5010D

5011D

6578DN

6578DN#140

6614D

C6615DN#140

C6625A

C6628A

C6656AN#140

C6657AN#140

C6658AN#140

C8721WN#140C8727AN#140

C8728AN#140

C8730WN#140

C8731WN#140

C8732WN#140

C8765WN#140

C8766WN#140

C8767WN#140

C8771WN#140

C8772WN#140

C8773WN#140

C8774WN#140

C8775WN#140

C9351AN#140

C9352AN#140

C9359AM

C9360AM

C9361WN#140

C9362WN#140

C9363WN#140

C9364WN#140

C9365AM

C9368AN#140

C9369WN#140

C9385AN#140

C9386AN#140

C9387AN#140

C9388AN#140

C9412A

C9413AC9414A

C9415A

C9416A

C9417A

C9418A

C9419A

CB277AN#140

CB278AN#140

CB304AN#140

CB316WN#140

CB317WN#140

CB318WN#140

CB319WN#140

CB320WN#140

CB334AN#140

CB335WN#140

CB337WN#140

CC635A

CC640WN#140

CC643WN#140

CC653AN#140

CC656AN#140

CD971AN#140

CH561WN#140

CH562WN#140

CH563WN#140

CH564WN#140

CH634AN#140

CH635AN#140

CH636AN#140CN049AN#140

CN050AN#140

CN051AN#140

CN052AN#140

CN057AN#140

CN058AN#140

CN059AN#140

CN060AN#140

XL SKUs

C4906AN#140

C4907AN#140

C4908AN#140

C6578AN#140

C4909AN#140

C9391AN#140

C9392AN#140

C9393AN#140

C9396AN#140

CB321WN#140

CB322WN#140

CB323WN#140

CB324WN#140

CB325WN#140

CB336WN#140

CB338WN#140

CC641WN#140

CC644WN#140

CC654AN#140

CD972AN#140

CD973AN#140CD974AN#140

CD975AN#140

CN045AN#140

CN046AN#140

CN047AN#140

CN048AN#140

CN053AN#140

CN054AN#140

CN055AN#140

CN056AN#140

Twin SKUs

C6650FN#140

C6653FN#140

C9319FN#140

C9320FN#140

C9322FN#140

C9330FN#140

C9348FN#140

C9349FN#140

C9350FN#140

C9500FN#140

C9508FN#140

C9512FN#140

C9514FN#140

CC580FN#140

CC581FN#140

CD886FN#140

CD995FN#140

Combo SKUs

C8788FN#140C8789FN#140

C8790FN#140

C9321FN#140

C9323FN#140

C9337FN#140

C9353FN#140

C9354FN#140

C9509FN#140

C9513FN#140

C9517FN#140

CB327FN#140

CC604FN#140

CC606FN#140

CC659FN#140

CD947FN#140

CD994FN#140

CR259FN#140

CN065FN#140

CN066FN#140

CN069FN#140

CR314FN#140

CR313FN#140

P Inkjet Cartridge SKUs