TO RECEIVE YOUR $25.00 REBATE:1) sign up for STARZ between 1/1/16 and 12/31/162) complete this rebate form3) mail your completed rebate form along with copies of your first three (3) month’s billing statements (your 1st month statement must reflect the date of activation of a new STARZ subscription between 1/1/16 and 12/31/16) to: STARZ NCTC 2016 $25 Cash Back Offer, Dept. 10704, PO Box 5016, Stacy, MN 55078-5016. To be eligible, rebate request must be received within 180 days from the activation of your STARZ subscription.

STARZ® NCTC $25.00 CASH BACK OFFERNew customers only! Must sign up for STARZ via a participating local NCTC cable service provider.

REBATE OFFER AVAILABLE TO NEW STARZ SUBSCRIBERS LOCATED IN THE UNITED STATES OR A UNITED STATES TERRITORY. Mail in request required. Rebate form is not redeemable for cash, is not negotiable and is valid only when accompanies by proof of subscription. Offer may not be combined with other STARZ offer(s), is limited to one (1) rebate per household or address during any twelve (12) month period and is only available to legal residents in the United States or a United States territory who are new subscribers to STARZ during the order period in participating NCTC markets. Minimum three (3) month subscription to STARZ is required to receive the $25 rebate. An address within the United States or a United States territory is required for delivery. Request must include completed rebate form and a copy of your first three (3) month’s paid billing statements showing you became a STARZ subscriber between 1/1/16 - 12/31/16. To be eligible rebate request must be received within 180 days of the activation of your STARZ subscription. Starz Entertainment, LLC and each of its agents and affiliates are not responsible for and will not honor damaged, late, lost, incomplete, illegible or postage due requests. This offer is void where prohibited, taxed or restricted. Employees of Starz Entertainment, LLC, its parent, subsidiaries, affiliates, printers, advertising and promotion agencies, licensed retailers and distributors are not eligible. Name and address on rebate form must match the name and address on billing statement. Starz Entertainment, LLC is not responsible for late, lost or misdirected mail, or for inability of any person(s) to download or print the rebate form. Offer expires 12/31/16. Allow 60 days for delivery. This rebate form and terms and conditions are also available at starzoffers.com. Information collected in connection with this offer will be used by Starz Entertainment, LLC in accordance with its Privacy Policy available at www.starz.com. Black Sails © 2016 Starz Entertainment, LLC. All Rights Reserved. Avengers: Age of Ultron © Marvel. All Rights Reserved. Cinderella © Disney Enterprises, Inc. All Rights Reserved. NCT4946-15-A

Name (please print):

Address:

City: State: Zip: Phone: ( )

Date of STARZ activation from billing statement

Custom package/bundle that includes STARZ

AVENGERS: AGE OF ULTRON

CINDERELLA