Monogram ZIF240NPKII Rebate Form

PROMOTION CODE 45219

THE

GOLDEN OPPORTUNITY

FLOOR MODEL

REBATE

Receive up to a $1,000 rebate on select Monogram oor models.

REBATE AMOUNTS ON ELIGIBLE MODELS

Single Wall Ovens – $300

Double Wall Ovens – $500

Built-In Advantium Ovens – $300

Side-by-Side Refrigerators – $1,000

HOW TO RECEIVE YOUR VISA® PREPAID CARD FROM MONOGRAM.

1. To submit online, please visit www.GEAppliancePromotions.com.

2. If you are una ble to submit online, use this form to mail in your
rebate request. Please ensure tha t you follow these steps:

• Complete ALL information on the reba te form, including

model number and serial number. Incomplete forms will not be
processed. Mark the models purchased on this form.

• Include the retail invoice or sales slip (photocopy accepta ble)

which shows the model number, name of store where the
appliance was purchased, da te of purchase and purchase price.

3. Rebate submission must be submitted online or postma rked no
later tha n April 30, 2020. Late submissions will not be accepted.

*

Built-In Refrigerators – $500

Undercounter Refrigerators – $200

24-inch Dishwashers – $300

5. Retain a copy of submitted materials for your records.

You are required to check a n eligible model number from the listing
on page 2 of this form and enter a serial number. If you have not
taken delivery of your appliance a nd do not expect to receive it prior
to April 30, 2020, please forward your cla im now without the serial
number. You will be notified via ema il once we process your claim
that we need your serial number. When you have your serial number,
call 1-866-319-9259 for the claim to be processed. Serial number must
be submitted by May 31, 2020, for rebate to be valid.

For help locating your serial number, call 1-800-444-4845.

4. Mail no la ter than April 30, 2020, to:

GE Appliances Claims
Monogram Golden Opportunity Rebate, Program 45219
P.O. Box 9106
Farmington Hills, MI 48333-9106

Allow 8-10 weeks to receive your rebate ca rd. If not received after
ten weeks, check online at www. GEAppliancePromotions.com or
call 1-866-319-9259.

SERIAL NUMBER

* Purchase an eligible Monogram display model from January 1, 2020 through

March 31, 2020, a t a participa ting authorized Monogram reseller and receive a
GE Appliances Visa Prepaid Card valued up to $1,000. See deta ils and a list of
eligible models on page 2 of this form.

PLEASE COMPLETE ONE (1) FORM FOR EACH MODEL PURCHASED.

ELIGIBLE MODELS – PLEASE MARK APPLIANCE PURCHASED.

FREE-STANDING
BOTTOM MOUNT
FRENCH-DOOR
REFRIGERATORS

O ZWE23ESHSS
O ZWE23PSHSS

BUILT-IN
BOTTOM MOUNT
REFRIGERATORS

O ZIC360NHLHII
O ZIC360NHRHII
O ZICS360NHLHSS
O ZICS360NHRHII
O ZICP360NHLHSS
O ZICP360NHRHII
O ZIP360NHII
O ZIPS360NHSS
O ZIPP360NHSS

YOU MUST PROVIDE A MONOGRAM SALES REPRESENTATIVE’S APPROVAL FOR A WRITE-IN MODEL

MONOGRAM SALES REPRESENTATIVE’S APPROVAL

BUILT-IN SIDE-BY-SIDE
REFRIGERATORS

O ZISB360DKII
O ZISS360DKSS
O ZIS420NKII
O ZISS420NKSS
O ZISB420DKII
O ZISS420DKSS
O ZISP420DKSS
O ZIS480NKII
O ZISS480NKSS
O ZISB480DKII
O ZISS480DKSS
O ZISP480DKSS

BUILT-IN SINGLE
DOOR ALL FREEZER/
ALL FRESH FOOD
REFRIGERATORS

O ZIR360NHRHII
O ZIRS360NHRHSS
O ZIRP360NHRHSS

O ZIF360NHLHII
O ZIFS360NHLHSS
O ZIFS360NHRHSS
O ZIFP360NHLHSS

30" INTEGRATED
BOTTOM MOUNT WITH
CONVERTIBLE DRAWER
REFRIGERATORS

O ZIC30GNHII
O ZIK30GNHII

COLUMN
REFRIGERATORS

O ZIR240NPKII
O ZIR300NPKII

COLUMN FREEZERS

O ZIF180NPKII
O ZIF240NPKII

:

UNDERCOUNTER
REFRIGERATORS

O ZDWR240HBS
O ZDBR240HBS
O ZIBS240HSS
O ZIDS240HSS
O ZIFS240HSS
O ZDOD240HSS

SINGLE WALL OVENS

O ZEK7000SHSS
O ZET9050SHSS
O ZET1SHSS
O ZET1PHSS

DOUBLE WALL OVENS

O ZEK7500SHSS
O ZET9550SHSS
O ZET2SHSS
O ZET2PHSS

BUILT-IN
ADVANTIUM OVENS

O ZSC1001JSS
O ZSC1201JSS
O ZSC1202JSS
O ZSC2201JSS
O ZSC2202JSS

DISHWASHERS

O ZDT915SSJSS
O ZDT915SIJII
O ZDT915SPJSS
O ZDT975SIJII
O ZDT975SSJSS
O ZDT975SPJSS

:

PLEASE PROVIDE YOUR SERIAL & MODEL NUMBERS WITH CONTACT INFORMATION.

MODEL NO.

Δ YOUR NAME

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Δ ADDRESS

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Δ CITY

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Δ 10-DIGIT PHONE

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SERIAL NO.

Δ EMAIL ADDRESS (A valid email address is required to receive rebate status updates.)

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Δ STATE

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Δ ZIP

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All fields marked with a triangle (Δ) are required in order to process and approve your rebate.

We will notify you via ema il when your rebate claim has been received.

By submitting this rebate form, you a re also registering your appliance with Monogram. Monogram takes your privacy seriously. All information you
provide shall be held in strict accordance with Monogra m Privacy Policy (www.geappliances.com/privacy/privacy_policy.htm).

MONTH YEARDAY

I represent that on _________ _____ _________ a qualifying Monogram display
model (see eligible models above) was purchased new for personal use, and not
for resale.

Rebate must be redeemed on applia nces purchased only for personal use. Multiple sales
to apartments, builders, condominiums, subdivisions, a nd wholesalers do not qualify.

Offer void where prohibited, taxed, or restricted by law. Not transfera ble or
redeemable for cash. Fra udulent submission of form could result in federal
prosecution for mail fra ud under the U.S. Mail Fraud Sta tutes (18 USC Section 1341
and 1342). is form must be included in your request. Omission of sales receipt or
any other required informa tion will delay processing. For mail submission, expect
8 to 10 weeks. If not received after ten weeks, call 1-866-319-9259, Monday-Friday,
9 AM-9 PM EST; Saturday-Sunday, 9 AM-5 PM EST.

Card is issued by MetaBa nk®, Member FDIC, pursuant to a license from Visa
U.S.A., Inc. No cash access or recurring payments. Can be used everywhere Visa
debit cards a re accepted. Card valid for up to 6 months; unused funds will forfeit
after the valid thru da te. Card terms and conditions apply.

I/we hereby understand and accept the above requirements for receipt
of the Visa Prepaid Card rebate and I/we represent that all information
provided on this document is accurate and not falsified.

Your Signature ___________________________________ Da te ____________

PUB. NO. 24-M00079 PC93599